Center For Life Change

  • 1952681504 NPI Number
  • |
  • Actived: 8 years ago
  • |
According to our database, NPI number for Center For Life Change is 1952681504 and actived since Friday, August 26 2011. Center For Life Change is an Organization provider specializes in Community/Behavioral Health. Provider information was last updated on 04/24/2013.

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Overview of Center For Life Change

  • NPI number: 1821633512
  • Provider type: Organization
  • Specialty: Community/Behavioral Health
  • Active since: 08/26/2011
  • Last updated: 04/24/2013

Primary Scrop of Practice

  • Taxonomy Code: 251S00000X
  • Specialty: Community/Behavioral Health
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1103 East Grace Street
    Building 2
    Rensselaer, IN 47978
  • Phone: 219-866-7869
  • Fax: 219-866-0688

Provider Practice Location

  • Address: 1317 15th St Se
    Demotte, IN 46310
  • Phone: 219-987-3719
  • Fax: 219-987-7729

Authorized Official

  • Name: MRS. Lori Eileen Groves MMFT
  • Position/Title: Marriage And Family Therapist
  • Telephone Number: 219-866-7869

Scope of Practice

  • Taxonomy Code: 251S00000X
  • Specialty: Community/Behavioral Health
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 201049690A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IN
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Center For Life Change?
  • A: The npi number for Center For Life Change is 1952681504.
  • Q: What are Center For Life Change's specialties?
  • A: Center For Life Change's specialties are Community/Behavioral Health and different specialities.
  • Q: Where is Center For Life Change business practice location?
  • A: Center For Life Change business practice location is 1317 15th St Se, Demotte, IN 46310.
  • Q: How to contact Center For Life Change?
  • A: You can contact Center For Life Change via 219-987-3719.
  • Q: What is the authorized official for Center For Life Change?
  • A: The authorized office name is MRS. Lori Eileen Groves MMFT with position/title is Marriage And Family Therapist and you can reach the authorized official via phone number 2198667869.