THE LIFE COUNSELING CENTER PA NPI 1003001447
Clinic/Center (Mental Health (Including Community Mental Health Center)) in Clyde, NC
About THE LIFE COUNSELING CENTER PA
The Life Counseling Center Pa is a provider established in Clyde, North Carolina specializing in clinic/center (mental health (including community mental health center)) . The NPI number of The Life Counseling Center Pa is 1003001447 and was assigned on September 2007. The practitioner's primary taxonomy code is 261QM0801X with license number MHL-044-042 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Nathan Haas (Business Administrator)
| NPI | 1003001447 |
| Provider Name | THE LIFE COUNSELING CENTER PA |
| Provider Location Address | 124 LIFE WAY CLYDE, NC 28721 |
| Provider Mailing Address | 124 LIFE WAY CLYDE, NC 28721 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-10-2007 |
| Last Update Date | 09-10-2007 |
Primary Taxonomy
| Taxonomy Code | 261QM0801X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Mental Health (Including Community Mental Health Center) |
| License No. | MHL-044-042 |
| License State | NC |
Business Address
THE LIFE COUNSELING CENTER PA
124 LIFE WAY
CLYDE, NC
ZIP 28721
Phone: (828) 647-5433
Mailing Address
THE LIFE COUNSELING CENTER PA
124 LIFE WAY
CLYDE, NC
ZIP 28721
Phone:
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 8300647H | MEDICAID (05) | NC |
Other Providers at the same location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104023944 | DR. LINDA S. PATTON LPC, EDD Individual | Counselor (Mental Health) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1306095781 | MRS. KIMBERLY LYNN COMEAU LPC Individual | Counselor (Professional) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1306929492 | THE LIFE CENTER FOR PASTORAL CARE AND COUNSELING, INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1376738716 | LIFE COUNSELING CENTER PA Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1568541746 | MRS. SUSAN TAYLOR MARKS LCSW Individual | Social Worker (Clinical) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1629297395 | MR. KENNETH RICHARD COOK MSW, LCSW Individual | Counselor (Mental Health) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1912192352 | LIFE COUNSELING CENTER PA Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1922181155 | DR. JAMES DOUGLAS MARKS LMFT Individual | Marriage & Family Therapist | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1972689081 | THE LIFE COUNSELING CENTER, PA Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1992752539 | THE LIFE COUNSELING CENTER, P.A. Organization | Counselor (Mental Health) | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.