Life Line Centers of California Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

LIFE LINE CENTERS OF CALIFORNIA INC

Practice address

856 N Sacramento St Ste H
Lodi, CA 95240-1251

Phone

(209) 367-5433

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Mindi Anderson, LICENSED SPECIALISTNPI 1841710282

Title

Ceo

Phone

(209) 367-5433

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mindi Ann Anderson, CAADE CATC III

  • Addiction (Substance Use Disorder) Counselor
  • Lodi, CA
  • NPI 1841710282
  NPD (past) Authorized official

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1154871416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 N SACRAMENTO ST STE H",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 N SACRAMENTO ST STE H",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401251",
            "telephone_number": "209-367-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE CENTERS OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-367-5433",
        "authorized_official_credential": "LICENSED SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Diane Lewis, MFT
• Rosanne Lewis, PT
• Shawnteona Lewis
• Nanying Li
• Nicki Li, RD, CDCES
• Cathleen Marie Ligman, MD
• Linda L. Wolff
• Heather Michelle Link
• La Toya Littesy, AMFT
• Nancy A. Little, M.D.

• Addiction (Substance Use Disorder) Counselor in Lodi, CA
• Providers in Lodi, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.