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THE LIFE COUNSELING CENTER PA NPI 1003001447

NPI Profile

NPI: 1003001447
Provider Name: THE LIFE COUNSELING CENTER PA
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
124 LIFE WAY
CLYDE, NC
ZIP 28721
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Phone: (828) 647-5433

THE LIFE COUNSELING CENTER PA is a mental health (including community mental health center) cliniccenter in Clyde, NC. THE LIFE COUNSELING CENTER PA NPI is 1003001447. The provider is registered as an organization entity type.

The provider's business location address is:

124 LIFE WAY
CLYDE, NC
ZIP 28721-540
Phone: (828) 647-5433

The provider's authorized official is Nathan Haas .
The authorized official title is Business Administrator and has the following contact phone number (828) 647-5433.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 9/10/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MHL-044-042NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18300647HMEDICAIDNORTH CAROLINA

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: 11/10/2019

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.