Provider Demographics
NPI:1285059790
Name:LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS, INC.
Entity type:Organization
Organization Name:LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUTHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-965-0110
Mailing Address - Street 1:3247 RAMOS CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2501
Mailing Address - Country:US
Mailing Address - Phone:916-965-0110
Mailing Address - Fax:916-965-0102
Practice Address - Street 1:3247 RAMOS CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2501
Practice Address - Country:US
Practice Address - Phone:916-965-0110
Practice Address - Fax:916-965-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251X00000XAgenciesSupports BrokerageGroup - Multi-Specialty