Organization Active NPI

Lifeline to Recovery Inc

  • Clinical Medical Laboratory
  • Lake Worth, FL
National Provider Identifier
1477976918
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
PY7715 Issued in FL
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

Updated by the provider on Feb 3, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.