Organization Active NPI

The Lifeline Center, LLC

  • Behavior Analyst
  • Florence, SC
National Provider Identifier
1790486272
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE LIFELINE CENTER, LLC
Practice address
2126 W Jody Rd
Florence, SC 29501-2032
Phone
(843) 731-9100
Fax
(843) 879-0613
NPI assigned
Mar 13, 2023
Organization subpart
Yes
Parent organization
THE LIFELINE CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Megan Munson-Matthews, MS, LPC-SNPI 1588095533
Title
Owner
Phone
(843) 731-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2126 W Jody Rd
Florence, SC 29501-2032

Mailing address

PO Box 4167
Florence, SC 29502-4167
Phone (843) 731-9100

National Provider Directory

National Provider Directory
Tax ID family
The Lifeline Center LLC2 organizations share this tax ID, including this one
Part of
The Lifeline Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1790486272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4167",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295024167",
            "telephone_number": "843-731-9100",
            "fax_number": "843-879-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 W JODY RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012032",
            "telephone_number": "843-731-9100",
            "fax_number": "843-879-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFELINE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LIFELINE CENTER, LLC",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "MUNSON-MATTHEWS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-731-9100",
        "authorized_official_credential": "MS, LPC-S"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.