Organization
LIFE LINE COMMUNITY MINISTRIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENNIE BARNO II (VICE PRESIDENT)
(908) 499-9117
Entity
Organization
Contact information
Practice address
9398 BIRCH LN, TOBYHANNA, PA 18466-3846
(908) 499-9117
Mailing address
9398 BIRCH LN, TOBYHANNA, PA 18466-3846
(908) 499-9117
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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