Life Source Center, Inc

LBN: Life Source Center, Inc
Life Source Center, Inc is an health care organization with primary practice located at 45 Arrowleaf Ct , Cheshire CT 06410-3312. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Life Source Center, Inc can be contacted via phone (860) 628-8474, or through Shocki, Raymond Steven via phone (860) 628-8474.

Contact Information

Primary practice address
45 Arrowleaf Ct Cheshire CT 06410-3312
Phone: (860) 628-8474
Fax: (860) 621-0850
Website:
Map and Directions
Authorized official contact:
Name: Shocki, Raymond Steven MSW
Phone: (860) 628-8474

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000402 Connecticut
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000320 Connecticut

Profile Details

NPI number 1780795559
LBN Legal business name Life Source Center, Inc
DBA Doing business as
Authorized official Shocki, Raymond Steven MSW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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