LIFE MENTORING INC. (NPI# 1235773664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235773664 |
| Entity Type | Organization |
| Organization Name | LIFE MENTORING INC. |
| Practice Address |
123 Harrington Ave Apt 2b Crown Point IN 46307-3843 |
| Practice Telephone | 2197302909 |
| Mailing Telephone | 2197302909 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | MR. ROBERT JAMES DUTKO (CO-PARTNER) |
| Authorized Official Telephone | 2197302909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
123 HARRINGTON AVE APT 2B |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1083275465 | The Academic Achievement Center, LLC | Clinic/Center | 2050 Doctors Park Dr, Columbus, IN 47203-2221 | 2019-06-26 |
| 1598263469 | Compass Counseling and Consulting Services, LLC. | Clinic/Center | 14074 Trade Center Dr Ste 247, Fishers, IN 46038-4579 | 2018-01-25 |
| 1366808834 | Change Therapy Center, LLC | Clinic/Center | 954 Eastport Centre Dr, Suite B, Valparaiso, IN 46383-4457 | 2016-01-13 |
| 1811234099 | Encouragement, LLC | Clinic/Center | 1017 Bontrager Ave, Elkhart, IN 46517-2811 | 2013-01-08 |
| 1861531386 | Zionsville Presbyterian Church | Clinic/Center | 4715 W 116th Street, Zionsville, IN 46077 | 2007-02-05 |
| 1003849605 | Ace Foster Care and Pediatric Home Nursing Agency | Clinic/Center | 7026 Indianapolis Blvd, Hammond, IN 46324-2208 | 2006-07-08 |
| 1730793530 | Choice Therapy | Clinic/Center | 12995 Star Dr, Fishers, IN 46037-5982 | 2020-08-31 |
| 1083102628 | Donald Joseph Bernat | Clinic/Center | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2018-04-30 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.