Healthcare Provider Details
I. General information
NPI: 1407919715
Provider Name (Legal Business Name): LIFEWORKS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2006
Last Update Date: 04/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
981 STATE ROAD 46 EAST SUITE D
BATESVILLE IN
47006
US
IV. Provider business mailing address
981 STATE ROAD 46 EAST SUITE D
BATESVILLE IN
47006
US
V. Phone/Fax
- Phone: 812-933-1820
- Fax: 812-932-1820
- Phone: 812-933-1820
- Fax: 812-932-1820
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JANELLE
BATTA
Title or Position: PARTNER
Credential: LCSW
Phone: 812-933-1820