| Life Line Community Ministries Llc | |
|
9398 Birch Ln Tobyhanna PA 18466-3846 | |
| (908) 499-9117 | |
| Not Available |
| Full Name | Life Line Community Ministries Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 9398 Birch Ln, Tobyhanna, Pennsylvania |
| Authorized Official Name and Position | Lennie Barno (VICE PRESIDENT) |
| Authorized Official Contact | 9084999117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Line Community Ministries Llc 9398 Birch Ln Tobyhanna PA 18466-3846 Ph: (908) 499-9117 | Life Line Community Ministries Llc 9398 Birch Ln Tobyhanna PA 18466-3846 Ph: (908) 499-9117 |
| NPI Number | 1326673120 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 03/12/2020 |
| Certification Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326673120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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