Life Stages Therapy Center, Inc

LBN: Life Stages Therapy Center, Inc
Life Stages Therapy Center, Inc is an health care organization with primary practice located at 409 E Cook Rd Suite 100, Fort Wayne IN 46825-3600. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / General Practice, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Life Stages Therapy Center, Inc can be contacted via phone (260) 498-9933, or through Souder, Marla Jean via phone (260) 498-9933.

Contact Information

Primary practice address
409 E Cook Rd Suite 100 Fort Wayne IN 46825-3600
Phone: (260) 498-9933
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Souder, Marla Jean PSYD, HSPP
Phone: (260) 498-9933

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042225A Indiana
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1376974378
LBN Legal business name Life Stages Therapy Center, Inc
DBA Doing business as
Authorized official Souder, Marla Jean PSYD, HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2013
Last updated Dec 2nd, 2013 - about 11 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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