| Lifeline Counseling Center Pllc | |
|
294 Gamble Ave Maryville TN 37801-4943 | |
| (865) 981-7400 | |
| (865) 977-5400 |
| Full Name | Lifeline Counseling Center Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 294 Gamble Ave, Maryville, Tennessee |
| Authorized Official Name and Position | Brenda-lee W. Duarte (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8659817400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Counseling Center Pllc 294 Gamble Ave Maryville TN 37801-4943 Ph: (865) 981-7400 | Lifeline Counseling Center Pllc 294 Gamble Ave Maryville TN 37801-4943 Ph: (865) 981-7400 |
| NPI Number | 1508168188 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508168188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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