Life Line Community Outreach Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFE LINE COMMUNITY OUTREACH SERVICES

Practice address

10705 Ned CT
21
Charlotte, NC 28273-9152

Phone

(919) 744-5446

NPI assigned

Nov 28, 2012

Last updated

Nov 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernestine K Julue

Title

Executive Director/ Owner

Phone

(919) 744-5446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1225373467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 NED CT",
            "address_2": "21",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282739152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 NED CT",
            "address_2": "21",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282739152",
            "telephone_number": "919-744-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE COMMUNITY OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "JULUE",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "919-744-5446"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Life in Focus LLC
• Life Interrupted Counseling Services
• Life Line Connection LLC
• Life Long Learning Educational Consulting, LLC
• Life Music Therapy & Counseling
• Life Solutions Consulting, LLC
• Life With No Limits LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.