Life Line Addictions Foundation Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0718000188 Issued in VA

Legal business name

LIFE LINE ADDICTIONS FOUNDATION INC.

Doing business as

Life Line Counseling Center

Practice address

10374 Democracy LN Ste a
Fairfax, VA 22030-2557

Phone

(703) 691-3029

Fax

(703) 691-7410

NPI assigned

Nov 17, 2006

Last updated

Sep 11, 2025By 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

Mr. George Lyndon Swanberg, LCSW, LSATP, MAC

Title

President

Phone

(703) 691-3029

Specialties & licenses 2

Addresses

Other names 1

• Life Line Counseling Center Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1437223922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 BEAVER DAM RD",
            "city": "JEFFERSONTON",
            "state": "VA",
            "postal_code": "227242001",
            "telephone_number": "540-347-9531",
            "fax_number": "703-691-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10374 DEMOCRACY LN STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302557",
            "telephone_number": "703-691-3029",
            "fax_number": "703-691-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE ADDICTIONS FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SWANBERG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LYNDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-691-3029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LSATP, MAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000188",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Line Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.