# LIVES SAVERS BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lives Savers Behavioral Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861255242
- **Authorized official:** DR. OLUWAKEMI OSIDELE DNP, PMHNP-BC (PRESIDENT)
- **Authorized official phone:** (240) 575-9940

## Contact information

- **Practice address:** 767 18TH ST NE, WASHINGTON, DC 20002-7228
- **Practice address phone:** (202) 239-0059
- **Mailing address:** 211 S JEFFERSON ST STE 201, FREDERICK, MD 21701-7012
- **Mailing address phone:** (703) 337-5052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2024
- **Last updated:** 01/30/2024