Organization
LIFE LINE ADDICTIONS FOUNDATION INC.
Active
Other names
Life Line Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE LYNDON SWANBERG LCSW, LSATP, MAC (PRESIDENT)
(703) 691-3029
Entity
Organization
Contact information
Practice address
10374 DEMOCRACY LN STE A, FAIRFAX, VA 22030-2557
(703) 691-3029
(703) 691-7410
Mailing address
4308 BEAVER DAM RD, JEFFERSONTON, VA 22724-2001
(540) 347-9531
(703) 691-7410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000188
VA
1041C0700X
Clinical Social Worker
0904006265
VA
Other
Enumeration date
11/17/2006
Last updated
09/11/2025
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