Lifeline
Community/Behavioral Health in Cookeville, TN. Organization (NPI-2).
NPI number1619112323
StatusActive
Last updated in NPPESDec 9, 2008
Details
- NPI
- 1619112323
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeline
- Organization subpart
- Yes
- Enumeration date
- Dec 9, 2008
- Last updated
- Dec 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | I000000003680 | TN | Yes |
Practice location
599 Vickers Pl Ste DCookeville, TN 38501-4076
Phone 931-525-6773
Mailing address
599 Vickers Pl Ste DCookeville, TN 38501-4076
Phone 931-525-6773
Authorized official
Landon Kent Mauck
Hr Coordinator
6157810013
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Behavioral Health providers in Cookeville, TN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.