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General NPI Number Information
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NPI Number | 1770522559
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Entity Type | Organization
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Legal Business Name | LIFELINE SERVICES INC.
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 390 COMMERCE DR SUITE D
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City | ABINGDON
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State | VA
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Zip | 24211-3876
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Country | US
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Telephone | 276-623-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 390 COMMERCE DR SUITE D
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City | ABINGDON
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State | VA
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Zip | 24211-3876
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Country | US
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Telephone | 276-623-2444
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Fax |
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | MR. DAVID RICHARD HEVER
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Credential | LPC
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Telephone | 276-623-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701001513
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0701001513
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License Number State | VA
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