Lifeline Harbor LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFELINE HARBOR LLC

Practice address

2921 Marti LN
Suite 8-a
Montgomery, AL 36116-3120

Phone

(334) 523-1675

NPI assigned

Mar 19, 2016

Last updated

Jan 4, 2017By 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

Mrs. Annie Doris Carter, LPCNPI 1508176488

Title

Executive Director

Phone

(334) 523-1675

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annie Doris Carter, LPC

  • Professional Counselor
  • Montgomery, AL
  • NPI 1508176488
  Authorized official Same address or phone

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1649631565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 MARTI LN",
            "address_2": "SUITE 8-A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163120",
            "telephone_number": "334-523-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 MARTI LN",
            "address_2": "SUITE 8-A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163120",
            "telephone_number": "334-523-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-19",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-523-1675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Alexis Licea Tamayo, MD
• David Michael Lieux, D.D.S.
• William Edward Lievens, M.D.
• Life Time Resolutions
• Lifeline by B&V LLC
• Lifestar Response of Alabama, Inc.
• John Philip Lightfoot, D.M.D.
• Lighthouse Counseling Center
• Like Family Inc.
• Patricia K Lillis, MD

• Community/Behavioral Health Agency in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.