Lifeline Counseling Center Llc | |
4212 State Route 306 Suite 306 Willoughby OH 44094-9258 | |
(440) 942-0100 | |
(877) 581-3908 |
Full Name | Lifeline Counseling Center Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 4212 State Route 306, Willoughby, Ohio |
Authorized Official Name and Position | James Wilson Davidson (DIRECTOR) |
Authorized Official Contact | 4409420100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifeline Counseling Center Llc 4212 State Route 306 Suite 306 Willoughby OH 44094-9258 Ph: (440) 942-0100 | Lifeline Counseling Center Llc 4212 State Route 306 Suite 306 Willoughby OH 44094-9258 Ph: (440) 942-0100 |
NPI Number | 1336166040 |
---|---|
Provider Enumeration Date | 07/17/2006 |
Last Update Date | 10/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336166040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2071 (Ohio) | Primary |
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