| Lifeline Counseling Center, Inc | |
|
5571 N University Dr #101 Coral Springs FL 33067 | |
| (954) 544-4991 | |
| (954) 544-4992 |
| Full Name | Lifeline Counseling Center, Inc |
|---|---|
| Speciality | Counselor |
| Location | 5571 N University Dr #101, Coral Springs, Florida |
| Authorized Official Name and Position | Jacqueline Marie Cagney (OWNER) |
| Authorized Official Contact | 9545444992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Counseling Center, Inc 5571 N University Dr #101 Coral Springs FL 33067 Ph: (954) 544-4991 | Lifeline Counseling Center, Inc 5571 N University Dr #101 Coral Springs FL 33067 Ph: (954) 544-4991 |
| NPI Number | 1285872879 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Medicare PECOS PAC ID | 9032562921 |
|---|---|
| Medicare Enrollment ID | O20240126002537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285872879 | NPI | - | NPPES |
| MT1579 | Other | FL | FLORIDA LICENSE NUMBER |
| Provider Name | Jacqueline Cagney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225026644 PECOS PAC ID: 1850744749 Enrollment ID: I20240126002766 |
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