Life Support Clinical Counseling Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC3192 Issued in MD

Legal business name

LIFE SUPPORT CLINICAL COUNSELING SERVICE

Practice address

1759 Allerford Dr
Hanover, MD 21076-1798

Phone

(410) 980-3163

NPI assigned

Feb 5, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alice Rita Hunley, LCPC

Title

Director

Phone

(410) 980-3163

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1003148743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 ALLERFORD DR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761798",
            "telephone_number": "410-980-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 ALLERFORD DR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761798",
            "telephone_number": "410-980-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT CLINICAL COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "HUNLEY",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-980-3163",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC3192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lerner
• David Levitt, M.D.
• Howard Levy, M.D., PH.D.
• Sudi-Ann Lewis-Dawkins, CRNP
• Liangkai Weng DDS Hanover LLC
• Daniel Youngpoong Lim, PHARMD
• Mark R Linzer, DPM
• Wentao Liu, MD
• Marie Lo
• Ellen Loreck

• Community/Behavioral Health Agency in Hanover, MD
• Providers in Hanover, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.