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Organization Active NPI

LDH Ambassaddors for Life Faith Base Counseling Services

  • Pastoral Counselor
  • North Ridgeville, OH
National Provider Identifier
1376847970
Registry record updated Dec 23, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
12671 Issued in FL
Legal business name
LDH AMBASSADDORS FOR LIFE FAITH BASE COUNSELING SERVICES
Practice address
33896 Sunflower Lane
North Ridgeville, OH 44039
Phone
(440) 728-0287
NPI assigned
Dec 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Dr. Linda Diane Henderson, NCCA, LCPC
Title
Founder & Chief Executive Officer
Phone
(440) 728-0287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X 12671 FL Primary

Addresses

Primary practice location

33896 Sunflower Lane
North Ridgeville, OH 44039

Mailing address

33896 Sunflower Lane
North Ridgeville, OH 44039
Phone (440) 728-0287

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1376847970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33896 SUNFLOWER LANE",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "44039",
            "telephone_number": "440-728-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33896 SUNFLOWER LANE",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "44039",
            "telephone_number": "440-728-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDH AMBASSADDORS FOR LIFE FAITH BASE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "FOUNDER & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "440-728-0287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NCCA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "12671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

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