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Contact Information

LIFESPAN COUNSELING CENTER LLC
729 GROVE AVE
SUITE 3
SOUTHAMPTON, PA18966-6008
 Phone: 215-355-8812
 Fax: 215-355-0926
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN COUNSELING CENTER LLC

NPI # 1104287564
LBN Legal business name LIFESPAN COUNSELING CENTER LLC
Authorized official ANDREA MANNINO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2016
Last updated 03/14/2016 - About 10 years ago
Identifiers
PA License # PA-003501-L
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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