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General NPI Number Information
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NPI Number | 1609669936
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Entity Type | Organization
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Legal Business Name | LIFE CENTER COUNSELING INC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 5230 S WESTERN AVE
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City | MARION
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State | IN
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Zip | 46953-5778
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Country | US
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Telephone | 765-674-2208
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Fax | 765-674-3273
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Provider Business Mailing Address
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Address Line | 5230 S WESTERN AVE
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City | MARION
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State | IN
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Zip | 46953-5778
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Country | US
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Telephone | 765-674-2208
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Fax | 765-674-3273
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | APRIL LEACH
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Credential |
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Telephone | 765-674-2208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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