Life Line Community Ministries Llc | |
9398 Birch Ln Tobyhanna PA 18466-3846 | |
(908) 499-9117 | |
Not Available |
Full Name | Life Line Community Ministries Llc |
---|---|
Speciality | Psychologist - Counseling |
Location | 9398 Birch Ln, Tobyhanna, Pennsylvania |
Authorized Official Name and Position | Lennie Barno (VICE PRESIDENT) |
Authorized Official Contact | 9084999117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Line Community Ministries Llc 9398 Birch Ln Tobyhanna PA 18466-3846 Ph: (908) 499-9117 | Life Line Community Ministries Llc 9398 Birch Ln Tobyhanna PA 18466-3846 Ph: (908) 499-9117 |
NPI Number | 1326673120 |
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Provider Enumeration Date | 03/12/2020 |
Last Update Date | 03/12/2020 |
Certification Date | 03/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326673120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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