Emmett Charles Line, LAC is a
Counselor - Mental Health based in Demarest, New Jersey. Emmett Charles Line is licensed to practice in New Jersey (license number 37AC00559100) and his current practice location is
37 Brookside Ave, Demarest, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(608) 516-6074.
NPI number for Emmett Charles Line is 1881407047 and his current mailing address is 37 Brookside Ave, Demarest, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881407047.
Healthcare Provider's Profile
Full Name | Emmett Charles Line |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 37 Brookside Ave, Demarest, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881407047
- Provider Enumeration Date: 01/30/2025
- Last Update Date: 01/30/2025
Medical Identifiers
Medical identifiers for Emmett Charles Line such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881407047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 37AC00559100 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emmett Charles Line is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Emmett Charles Line, LAC 37 Brookside Ave, Demarest, NJ 07627-2005 Ph: () - | Emmett Charles Line, LAC 37 Brookside Ave, Demarest, NJ 07627-2005 Ph: (608) 516-6074 |
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