# LIFELINE RESOURCES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073664694
- **Authorized official:** MR. VINCENT A KELLY (OWNER/VICE-PRESIDENT)
- **Authorized official phone:** (515) 256-8001

## Contact information

- **Practice address:** 3125 DOUGLAS AVE STE 100, DES MOINES, IA 50310-5310
- **Practice address phone:** (515) 256-8001
- **Practice address fax:** (515) 256-8082
- **Mailing address:** 3125 DOUGLAS AVE STE 100, DES MOINES, IA 50310-5310
- **Mailing address phone:** (515) 256-8001
- **Mailing address fax:** (515) 256-8082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 02581 | IA | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 07/01/2013