OrganizationLife-Line Behavioral Health Llc(Life-Line Behavioral Health)Community/Behavioral HealthAgenciesPractice Address2350 S Jones Blvd Ste 224, Las Vegas, NV 89146-3103(702) 215-5835PECOS EnrollmentBased on the most recent information from CMS, provider Life-Line Behavioral Health Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 38 days ago.Profile DetailsProvider ID1073012670Provider TypeOrganizationFull NameLife-Line Behavioral Health LlcOther NameLife-Line Behavioral HealthSubpartNoEnumeration Date2/8/2018Last Updated2/8/2018Contact InformationPractice LocationPractice Address2350 S Jones Blvd Ste 224, Las Vegas, NV 89146-3103Phone(702) 215-5835FaxUnlisted FaxMailing LocationMailing Address2350 S Jones Blvd Ste 224, Las Vegas, NV 89146-3103Phone(702) 215-5835FaxUnlisted FaxAuthorized OfficialNameHarrell, Leon Martel (Owner/Manager)Phone(702) 906-3467Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer