EMMETT CHARLES LINE LAC
NPI 1881407047
Counselor - Mental Health in Demarest, NJ

Active since January 30, 2025
37 BROOKSIDE AVE, DEMAREST, NJ 07627(608) 516-6074 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emmett Charles Line Lac NPPES

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

EMMETT CHARLES LINE LAC (NPI 1881407047) is an individual mental health provider in Demarest, New Jersey, licensed in New Jersey (37AC00559100) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1881407047
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEMMETT CHARLES LINECredential: LAC
Location Address37 BROOKSIDE AVEDemarest, NJ 07627-2005
Mailing Address37 Brookside AveDemarest, NJ 07627-2005
Sole ProprietorYes
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1881407047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NJ · 37AC00559100
37 BROOKSIDE AVE, Demarest, NJ 07627

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 Emmett Line's NPI number?

The NPI number for Emmett Line is 1881407047. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Emmett Line located?

Emmett Line practices at 37 Brookside Ave, Demarest, NJ 07627. The listed phone number is (608) 516-6074.

What is Emmett Line's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Emmett Line was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.