| Ashland Lifeline, Llc | |
|
432 Center St Ashland OH 44805-3247 | |
| (419) 289-8100 | |
| Not Available |
| Full Name | Ashland Lifeline, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 432 Center St, Ashland, Ohio |
| Authorized Official Name and Position | Tammy M. White (PRESIDENT/OWNER) |
| Authorized Official Contact | 4196519984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashland Lifeline, Llc 709 State Route 58 Ashland OH 44805-9541 Ph: (419) 651-9984 | Ashland Lifeline, Llc 432 Center St Ashland OH 44805-3247 Ph: (419) 289-8100 |
| NPI Number | 1902551096 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902551096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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