| Organization Name: | LDH AMBASSADDORS FOR LIFE FAITH BASE COUNSELING SERVICES |
| NPI Number: | 1376847970 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA DIANE HENDERSON (FOUNDER & CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 33896 Sunflower Lane North Ridgeville |
| State: | OH US |
| Postal Code: | 44039 |
| Phone Number: | 4407280287 |
| Fax Number: | |
| NPI Enumeration Date: | 12/23/2010 |
| NPI Last Update Date: | 12/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 12671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |