Life Line Community Ministries LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

LIFE LINE COMMUNITY MINISTRIES LLC

Practice address

9398 Birch LN
Tobyhanna, PA 18466-3846

Phone

(908) 499-9117

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Lennie Barno II

Title

Vice President

Phone

(908) 499-9117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1326673120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9398 BIRCH LN",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184663846",
            "telephone_number": "908-499-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 BIRCH LN",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184663846",
            "telephone_number": "908-499-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE COMMUNITY MINISTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "BARNO",
        "authorized_official_first_name": "LENNIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "908-499-9117",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Tobyhanna, PA
• Providers in Tobyhanna, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.