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Organization
THE LIFELINE CENTER, LLC
Active
Organization
THE LIFELINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MUNSON LPC-S (OWNER)
(843) 731-9100
Entity
Organization
Contact information
Practice address
2126 W JODY RD, FLORENCE, SC 29501-2032
(843) 731-9100
(843) 879-0613
Mailing address
PO BOX 4167, FLORENCE, SC 29502-4167
(843) 731-9100
(843) 879-0613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9388
—
SC
Enumeration date
10/04/2019
Last updated
03/03/2023
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