Provider Demographics
NPI:1851906820
Name:LIFE PATTERNS BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:LIFE PATTERNS BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:K
Authorized Official - Last Name:AKINRIBIDO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:734-718-6102
Mailing Address - Street 1:6918 ARCADIA MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2306
Mailing Address - Country:US
Mailing Address - Phone:734-718-6102
Mailing Address - Fax:210-761-7862
Practice Address - Street 1:10988 S WILCREST
Practice Address - Street 2:# 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099
Practice Address - Country:US
Practice Address - Phone:281-698-5816
Practice Address - Fax:210-761-7862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty