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.
Business Address
THE LIFE COUNSELING CENTER PA
124 LIFE WAY
CLYDE, NC
ZIP 28721
Phone: (828) 647-5433
Map Location
Mailing Address
THE LIFE COUNSELING CENTER PA
124 LIFE WAY
CLYDE, NC
ZIP 28721
Phone:
Primary Taxonomy
| Taxonomy Code | 261QM0801X   Primary Taxonomy CodeThe 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. |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Mental Health (Including Community Mental Health Center) |
| License No. | MHL-044-042 |
| License State | NC |
Authorized Official
| Authorized Official Name | MR. NATHAN HAAS Authorized 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 Title | BUSINESS 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 |
|---|---|---|
| 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 | 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 | 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 D.MIN.,LMFT Individual | Physical Therapist | 124 LIFE WAY CLYDE, NC 28721 (828) 627-5433 |
| 1972689081 | LIFE COUNSELING CENTER P.A. 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 |