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 in Clyde, NC. The NPI number assigned to this provider is 1003001447. The practitioner's primary taxonomy code is Clinic/Center (261QM0801X). The provider is registered as an organization and their NPI record was last updated 11 years ago.

NPI

1003001447

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTHE LIFE COUNSELING CENTER PA
Provider Location Address124 LIFE WAY CLYDE, NC 28721 Additional informationCallout TooltipProvider 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 Address124 LIFE WAY CLYDE, NC 28721 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date09-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-10-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

THE LIFE COUNSELING CENTER PA
124 LIFE WAY
CLYDE, NC
ZIP 28721
Phone: (828) 647-5433

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Mailing Address

THE LIFE COUNSELING CENTER PA
124 LIFE WAY
CLYDE, NC
ZIP 28721
Phone:

Primary Taxonomy

Taxonomy Code261QM0801X Additional informationCallout TooltipPrimary 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.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License No.MHL-044-042
License StateNC

Authorized Official

Authorized Official NameMR. NATHAN HAAS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleBUSINESS ADMINISTRATOR
Authorized Official Phone(828) 647-5433

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
8300647HMEDICAID (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
1104023944DR. LINDA S. PATTON LPC, EDD
Individual
124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
1306095781MRS. KIMBERLY LYNN COMEAU LPC
Individual
Counselor (Professional)124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
1306929492THE 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
1376738716LIFE COUNSELING CENTER PA
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
1568541746MRS. SUSAN TAYLOR MARKS LCSW
Individual
Social Worker (Clinical)124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
1629297395MR. KENNETH RICHARD COOK MSW, LCSW
Individual
124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
1912192352LIFE COUNSELING CENTER PA
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
1922181155DR. JAMES DOUGLAS MARKS D.MIN.,LMFT
Individual
Physical Therapist124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
1972689081LIFE COUNSELING CENTER P.A.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
1992752539THE LIFE COUNSELING CENTER, P.A.
Organization
Counselor (Mental Health)124 LIFE WAY
CLYDE, NC 28721
(828) 627-5433
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