Provider Demographics
NPI:1851047625
Name:HUTCHERSON CONSULTING DBA LIFELINE CMS
Entity Type:Organization
Organization Name:HUTCHERSON CONSULTING DBA LIFELINE CMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:972-989-6555
Mailing Address - Street 1:4101 MCEWEN RD STE 324
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5275
Mailing Address - Country:US
Mailing Address - Phone:972-989-6555
Mailing Address - Fax:
Practice Address - Street 1:4101 MCEWEN RD STE 324
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-5275
Practice Address - Country:US
Practice Address - Phone:972-989-6555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty