Provider Demographics
NPI:1831831296
Name:LIFELINE COUNSELING LLC
Entity type:Organization
Organization Name:LIFELINE COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTYRE ZIENKEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-415-7016
Mailing Address - Street 1:4 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-1250
Mailing Address - Country:US
Mailing Address - Phone:720-507-4696
Mailing Address - Fax:
Practice Address - Street 1:4045 S BROADWAY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-4694
Practice Address - Country:US
Practice Address - Phone:720-415-7016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty