| Lifeline Counseling Center Llc | |
|
4212 State Route 306 Suite 306 Willoughby OH 44094-9258 | |
| (440) 942-0100 | |
| (877) 581-3908 |
| Full Name | Lifeline Counseling Center Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4212 State Route 306, Willoughby, Ohio |
| Authorized Official Name and Position | James Wilson Davidson (DIRECTOR) |
| Authorized Official Contact | 4409420100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Counseling Center Llc 4212 State Route 306 Suite 306 Willoughby OH 44094-9258 Ph: (440) 942-0100 | Lifeline Counseling Center Llc 4212 State Route 306 Suite 306 Willoughby OH 44094-9258 Ph: (440) 942-0100 |
| NPI Number | 1336166040 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 10/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336166040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2071 (Ohio) | Primary |
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