Lifeline Center, Pllc in Maryville - Health Service
Lifeline Center, Pllc - NPI 1154509958
Lifeline Center, Pllc is a Health Service in Maryville, Tennessee. Lifeline Center, Pllc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Lifeline Center, Pllc is 1154509958. The last update date is 2010-02-26.
Lifeline Center, Pllc's current location address is 294 Gamble Ave, Maryville, Tennessee. You can contact this provider via phone number 8659817400. The mailing address for Lifeline Center, Pllc is 294 Gamble Ave, Maryville, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lifeline Center, Pllc |
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Address | 294 Gamble Ave, Maryville, Tennessee |
Phone Number | 8659817400 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Carroll Joy Nancy |
Credentials | ED.D. |
Telephone Number | 8659817400 |
NPI Number Detail
NPI Number | 1154509958 |
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Provider Enumeration Date | 2008-02-04 |
Last Updated Date | 2010-02-26 |
Provider Mailing Address Detail
Address | 294 Gamble Ave |
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City | Maryville |
State | Tennessee (TN) |
Post Code | 378014943 |
Phone Number | 8659817400 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Health Service |
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Taxonomy | 103Th0100X |
Licence No | 1002 |
Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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What is the unique identifier code issued to Lifeline Center, Pllc by the Centers for Medicare & Medicaid Services?
The Lifeline Center, Pllc has been assigned the NPI (National Provider Identifier) 1154509958. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lifeline Center, Pllc located?
The Lifeline Center, Pllc is located at 294 Gamble Ave, Maryville, TN 378014943.
What is Lifeline Center, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lifeline Center, Pllc is Health Service, and the corresponding taxonomy classification code for this specialized field is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154509958 to Lifeline Center, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1154509958 to Lifeline Center, Pllc on 2008-02-04.
When was the information pertaining to Lifeline Center, Pllc most recently updated or revised?
The details related to Lifeline Center, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-26.
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