Provider Demographics
NPI:1427937671
Name:LIFESTYLE & ACCESS
Entity type:Organization
Organization Name:LIFESTYLE & ACCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIDGETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-623-0004
Mailing Address - Street 1:31 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1920
Mailing Address - Country:US
Mailing Address - Phone:240-623-0004
Mailing Address - Fax:339-212-0988
Practice Address - Street 1:31 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1920
Practice Address - Country:US
Practice Address - Phone:240-623-0004
Practice Address - Fax:339-212-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty