| The Lifeline Center, Llc | |
|
2126 W Jody Rd Florence SC 29501-2032 | |
| (843) 731-9100 | |
| (843) 879-0613 |
| Full Name | The Lifeline Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2126 W Jody Rd, Florence, South Carolina |
| Authorized Official Name and Position | Megan Munson (OWNER) |
| Authorized Official Contact | 8437319100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lifeline Center, Llc Po Box 4167 Florence SC 29502-4167 Ph: (843) 731-9100 | The Lifeline Center, Llc 2126 W Jody Rd Florence SC 29501-2032 Ph: (843) 731-9100 |
| NPI Number | 1720629306 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720629306 | NPI | - | NPPES |
| GP9388 | Medicaid | SC |
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