Provider Demographics
NPI:1053856559
Name:LIFETIME INSIGHT, LLC
Entity Type:Organization
Organization Name:LIFETIME INSIGHT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARIT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVAV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:844-547-7924
Mailing Address - Street 1:32158 CAMINO CAPISTRANO STE 115
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3711
Mailing Address - Country:US
Mailing Address - Phone:844-547-7924
Mailing Address - Fax:818-797-1780
Practice Address - Street 1:4242 FARNAM ST STE 355
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2850
Practice Address - Country:US
Practice Address - Phone:844-547-7924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE292182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty