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LIFELINE COUNSELING CENTER INC. NPI 1285872879


NPI Information

NPI: 1285872879
Provider Name: LIFELINE COUNSELING CENTER, INC.
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
10406 TAFT ST
PEMBROKE PINES, FL
ZIP 33026
Phone: (954) 436-3880
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LIFELINE COUNSELING CENTER, INC. is a marriage family therapist in Pembroke Pines, FL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. LIFELINE COUNSELING CENTER, INC. NPI is 1285872879. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10406 TAFT ST
PEMBROKE PINES, FL
ZIP 33026-819
Phone: (954) 436-3880
Fax: (954) 436-3881

The provider's authorized official is Jacqueline Marie Cagney .
The authorized official title is President and has the following contact phone number (954) 436-3880.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 2/4/2009.


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
1101YM0800XCounselorMental HealthMH2618FLORIDANo
21041C0700XSocial WorkerClinicalSW8336FLORIDANo
3106H00000XMarriage & Family TherapistMT1579FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MT1579OTHERFLORIDAFLORIDA LICENSE NUMBER

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

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