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Organization
LIFELINE COUNSELING CENTER, INC
Active
Organization
LIFELINE COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIE CAGNEY LMFT (OWNER)
(954) 544-4992
Entity
Organization
Contact information
Practice address
5571 N UNIVERSITY DR #101, CORAL SPRINGS, FL 33067
(954) 544-4991
(954) 544-4992
Mailing address
5571 N UNIVERSITY DR #101, CORAL SPRINGS, FL 33067
(954) 544-4991
(954) 544-4992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH2618
FL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
SW8336
FL
106H00000X
Marriage & Family Therapist
MT1579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT1579
FLORIDA LICENSE NUMBER
FL
Enumeration date
02/04/2009
Last updated
06/28/2022
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