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General NPI Number Information
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NPI Number | 1982161915
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Entity Type | Organization
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Legal Business Name | LIFE LINE COUNSELING INC
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 11020 SEMINOLE BLVD
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City | LARGO
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State | FL
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Zip | 33778-3229
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Country | US
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Telephone | 727-201-2575
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Fax |
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Provider Business Mailing Address
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Address Line | 11020 SEMINOLE BLVD
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City | LARGO
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State | FL
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Zip | 33778-3229
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Country | US
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Telephone | 727-201-2575
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CARLA RASNICK
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Credential | MA, LMHC
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Telephone | 727-201-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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