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LIFE LINE ADDICTIONS FOUNDATION INC. NPI 1437223922


NPI Information

NPI: 1437223922
Provider Name: LIFE LINE ADDICTIONS FOUNDATION INC.

Doing Business As: LIFE LINE COUNSELING CENTER

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
10374 DEMOCRACY LN STE A
FAIRFAX, VA
ZIP 22030
Phone: (703) 691-3029
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LIFE LINE ADDICTIONS FOUNDATION INC. is an addiction (substance use disorder) counselor in Fairfax, VA. LIFE LINE ADDICTIONS FOUNDATION INC. NPI is 1437223922. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Life Line Counseling Center.

The provider's business location address is:

10374 DEMOCRACY LN STE A
FAIRFAX, VA
ZIP 22030-557
Phone: (703) 691-3029
Fax: (703) 691-7410

The provider's authorized official is George Lyndon Swanberg .
The authorized official title is President and has the following contact phone number (703) 691-3029.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)0718000188VIRGINIAYes
21041C0700XSocial WorkerClinical0904006265VIRGINIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.