Lifelong Health LLC
Nurse Practitioner, Psych/Mental Health in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1043142425
StatusActive
Last updated in NPPESJun 1, 2026
Details
- NPI
- 1043142425
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifelong Health LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2026
- Certification date
- May 20, 2026
- Last updated
- Jun 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
2018 Se Port St Lucie BlvdPort Saint Lucie, FL 34952-5543
Phone 201-474-2113
Mailing address
2018 Se Port St Lucie BlvdPort Saint Lucie, FL 34952-5543
Other practice locations
250 Pehle Ave Ste 200
Saddle Brook, NJ 07663-5835
Saddle Brook, NJ 07663-5835
Phone 201-474-2113
Authorized official
Lashon Simpson
Pmhnp/Owner
2014742113
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