Provider Demographics
NPI:1316540339
Name:LIFEWORKS SERVICES, LLC
Entity Type:Organization
Organization Name:LIFEWORKS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA, LPC
Authorized Official - Phone:843-324-9070
Mailing Address - Street 1:14805 SUNNY LAND AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-3142
Mailing Address - Country:US
Mailing Address - Phone:843-324-9070
Mailing Address - Fax:
Practice Address - Street 1:10710 GATEWAY N BLVD
Practice Address - Street 2:B2
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924
Practice Address - Country:US
Practice Address - Phone:843-324-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health