Provider Demographics
NPI:1548913023
Name:LINEAGE PRIORITY, LLC
Entity type:Organization
Organization Name:LINEAGE PRIORITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:BS, MSW, LCSW-A
Authorized Official - Phone:919-344-2824
Mailing Address - Street 1:2901 SPRINGSWEET LN APT 33
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-7163
Mailing Address - Country:US
Mailing Address - Phone:919-344-2824
Mailing Address - Fax:
Practice Address - Street 1:2901 SPRINGSWEET LN APT 33
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-7163
Practice Address - Country:US
Practice Address - Phone:919-344-2824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LINEAGE PRIORITY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty