Healthcare Provider Details

I. General information

NPI: 1942174198
Provider Name (Legal Business Name): CENTERED HARMONY PSYCHOLOGY AND PERFORMANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 W JOLIET RD
LA PORTE IN
46350-7430
US

IV. Provider business mailing address

3551 W JOLIET RD
LA PORTE IN
46350-7430
US

V. Phone/Fax

Practice location:
  • Phone: 413-309-5434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TE1100X
TaxonomyExercise & Sports Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHEN LIANG
Title or Position: PSYCHOLOGIST
Credential: PSYD, HSPP
Phone: 413-309-5434