Provider Demographics
NPI:1447758230
Name:LIFEWORKS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:LIFEWORKS BEHAVIORAL HEALTH LLC
Other - Org Name:PARADIGM SHIFT RECOVERY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA, PRS-S
Authorized Official - Phone:216-659-1916
Mailing Address - Street 1:17325 EUCLID AVE STE 3040
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1276
Mailing Address - Country:US
Mailing Address - Phone:216-659-1916
Mailing Address - Fax:
Practice Address - Street 1:17325 EUCLID AVE STE 3040
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1276
Practice Address - Country:US
Practice Address - Phone:216-659-1916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care