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 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	THE LIFE COUNSELING CENTER PA
Provider Location Address	124 LIFE WAY CLYDE, NC 28721 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	124 LIFE WAY CLYDE, NC 28721 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity 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 What 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 Date	09-10-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	09-10-2007 Last 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
Get Directions

Mailing Address

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

Primary Taxonomy

Taxonomy Code	261QM0801X 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.
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

Map Location

THE LIFE COUNSELING CENTER PA address is 124 LIFE WAY CLYDE, NC 28721

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