Active NPI
Lifeline to Recovery Inc
- Clinical Medical Laboratory
- Lake Worth, FL
National Provider Identifier
1477976918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- PY7715
- Legal business name
- LIFELINE TO RECOVERY INC
- Practice address
- 2290 10TH Ave N Ste 201
Lake Worth, FL 33461-6609 - Phone
- (561) 223-3140
- NPI assigned
- Feb 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Cicetti, PSY.D., LMHC
- Title
- Owner
- Phone
- (561) 734-6118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | PY7715 | FL | Primary |
Addresses
Primary practice location
2290 10TH Ave N Ste 201
Lake Worth, FL 33461-6609
Mailing address
2290 10TH Ave N Ste 201
Lake Worth, FL 33461-6609
Phone (561) 223-3140
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391385600000",
"number": "1477976918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 10TH AVE N STE 201",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334616609",
"telephone_number": "561-223-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 10TH AVE N STE 201",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334616609",
"telephone_number": "561-223-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE TO RECOVERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A",
"authorized_official_last_name": "CICETTI",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-734-6118",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PSY.D., LMHC"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "PY7715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
- Maria Licea Sanchez
- Mark Alan Lieberfarb, MD
- Life Community Wellness Center Corp
- Life Fluids Inc (Ken's Pharmacy)
- Lifecare Solutions of Palm Beach Inc
- Lifestyle Health & Wellness Medical Group
- Lifestyle Health Inc
- John D Light, DMD
- Lima Therapy Group of Palm Beach, Inc
- Lima Therapy Group of Palm Beach, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.