LIFELINE COUNSELING CENTER LLC
NPI 1336166040
Psychologist - Clinical in Willoughby, OH

Active since July 17, 2006
4212 STATE ROUTE 306, SUITE 306, WILLOUGHBY, OH 44094(440) 942-0100(877) 581-3908 Get Directions Write a Review

NPPES record last updated: October 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Counseling Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELINE COUNSELING CENTER LLC (NPI 1336166040), doing business as James W. & Nancy L. Davidson, is a healthcare organization registered as a clinical in Willoughby, Ohio and active in the NPI registry since July 2006. The organization lists James Wilson Davidson, Director, as its authorized official.

NPPES Registry Identity

NPI1336166040
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIFELINE COUNSELING CENTER LLC
Location Address4212 STATE ROUTE 306, SUITE 306Willoughby, OH 44094-9258
Mailing Address4212 State Route 306, Suite 306Willoughby, OH 44094-9258 · (440) 942-0100 · Fax (877) 581-3908
Fax(877) 581-3908
Organization SubpartNo
Authorized OfficialJames Wilson DavidsonDirector · (440) 942-0100
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 9, 2011
NPI 1336166040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OH · 2071
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4212 STATE ROUTE 306, Willoughby, OH 44094

Other Names 1

Former Legal Business NameJames W. & Nancy L. Davidson

Other Identifiers 3

Medicare PIN9273751OH
Medicare PINDACP15801OH
Medicare PINDACP07702OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4212 STATE ROUTE 306, SUITE 308
WILLOUGHBY, OH 44094
Dentist (General Practice)
4212 STATE ROUTE 306, SUITE #300
WILLOUGHBY, OH 44094
Dentist (General Practice)
4212 STATE ROUTE 306, SUITE 308
WILLOUGHBY, OH 44094
Psychologist
4212 STATE ROUTE 306, #100
WILLOUGHBY, OH 44094
Clinic/Center (Multi-Specialty)
4212 STATE ROUTE 306
WILLOUGHBY, OH 44094
Internal Medicine (Pulmonary Disease)
4212 STATE ROUTE 306, #110
WILLOUGHBY, OH 44094
Psychiatry & Neurology (Neurology)
4212 STATE ROUTE 306, 204
WILLOUGHBY, OH 44094
Psychiatry & Neurology (Neurology)
4212 STATE ROUTE 306, 204
WILLOUGHBY, OH 44094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifeline Counseling Center LLC's NPI number?

The NPI number for Lifeline Counseling Center LLC is 1336166040. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider was formerly known as James W. & Nancy L. Davidson.

Where is Lifeline Counseling Center LLC located?

Lifeline Counseling Center LLC is located at 4212 State Route 306 Suite 306, Willoughby, OH 44094. The listed phone number is (440) 942-0100.

What is Lifeline Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lifeline Counseling Center LLC was last updated on October 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.