THE LIFELINE CENTER, LLC (NPI# 1720629306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720629306 |
| Entity Type | Organization |
| Organization Name | THE LIFELINE CENTER, LLC |
| Practice Address |
2704 S Irby St Florence SC 29505-3434 |
| Practice Telephone | 8437995620 |
| Mailing Telephone | 8437995620 |
| Mailing Fax Number | 8437995622 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-01-11 |
| Authorized Official Name | MEGAN MUNSON (OWNER) |
| Authorized Official Telephone | 8437995620 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP9388 | 05 |
| Street Address |
2704 S IRBY ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003974627 | Arizona's Children Association | Clinic/Center | 225 S Orlando St., Florence, AZ 85132 | 2006-12-05 |
| 1780197970 | G-team, P.C. | Clinic/Center | 218 W Alabama St, Florence, AL 35630-5516 | 2017-11-09 |
| 1427447978 | Palmetto Pee Dee Behavioral Health Inc | Clinic/Center | 601 Gregg Ave, Florence, SC 29501-4316 | 2015-01-21 |
| 1053692012 | Awareness and Discovery Group LLC | Clinic/Center | 2 Dortha Ave, Florence, KY 41042-2014 | 2011-09-06 |
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|---|---|---|---|---|
| 1548874621 | Safe Harbour Counseling Services | Clinic/Center | 23 Little Creek Rd, Beaufort, SC 29907-1634 | 2020-09-04 |
| 1043821911 | Be Still and Heal, LLC | Clinic/Center | 221 Hillsborough Rd, Columbia, SC 29212-3639 | 2020-08-13 |
| 1932724028 | Balancing Eden Counseling LLC | Clinic/Center | 2607 Woodruff Rd Ste E-1069, Simpsonville, SC 29681-4803 | 2020-06-15 |
| 1720602758 | End-list Possibilities, LLC | Clinic/Center | 2375 E Main St Ste A105, Spartanburg, SC 29307-1400 | 2020-06-05 |
| 1356997746 | Palmetto Therapist LLC | Clinic/Center | 2437c Mineral Springs Rd, Lexington, SC 29072-9145 | 2019-08-13 |
| 1720551070 | Inspirational Hope, LLC | Clinic/Center | 232 15-401 E Bypass, Bennettsville, SC 29512-4440 | 2019-01-09 |
| 1265915649 | Elite Care Family Services | Clinic/Center | 716 Paces Run Ct, Columbia, SC 29223-7949 | 2018-09-11 |
| 1821337098 | Behavioral Health Services LLC | Clinic/Center | 7320 College St, Suite 102, Irmo, SC 29063-2944 | 2013-02-07 |
| 1447512892 | Carolina Child Psychiatry, Pa | Clinic/Center | 1911 Barnwell St Ste A, Columbia, SC 29201-2605 | 2012-06-12 |
| 1184984742 | Autism Academy of South Carolina | Clinic/Center | 2243 Percival Rd, Columbia, SC 29223-4021 | 2012-05-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.