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The Lifeline Center, Llc
Adolescent and Children Mental Health Clinic/Center in Florence, South Carolina
NPI 1720629306

The Lifeline Center, Llc is an Adolescent and Children Mental Health Clinic/Center based in Florence, SC and is specialized in Adolescent and Children Mental Health. The Lifeline Center, Llc practices in Florence, SC. The NPI Number for The Lifeline Center, Llc is 1720629306 and holds a License No. (South Carolina).

The current practice location address for The Lifeline Center, Llc is 2126 W Jody Rd, Florence, SC and can be reached out via phone at 843-731-9100 and via fax at 843-879-0613. You can also correspond with The Lifeline Center, Llc through the mailing address at PO BOX 4167, FLORENCE, SC - 29502-4167 (mailing address contact number: 843-731-9100).

Location: 2126 W Jody Rd, Florence, SC, 29502-4167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720629306
Provider Name
The Lifeline Center, Llc
Credential
Provider Entity Type
Organization
Address
2126 W Jody Rd, Florence, SC, 29502-4167
Phone Number
843-731-9100
Fax Number
843-879-0613
Provider Enumeration Date
10/04/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP9388 05 SC
institution
Provider Business Practice Location Address Details
Address
2126 W Jody Rd
City
Florence
State
South Carolina
Zip
29501-2032
Phone Number
843-731-9100
Fax Number
843-879-0613
person
Provider Business Mailing Address Details
Address
2126 W Jody Rd
City
Florence
State
South Carolina
Zip
29501-2032
Phone Number
843-731-9100
Fax Number
843-879-0613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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