Life Source Center, INC
Marriage & Family Therapist in Cheshire, Connecticut
1780795559- Practice location
- 45 Arrowleaf CT, Cheshire, CT 06410-3312
- Phone
- 860-628-8474
- Fax
- 860-621-0850
- Last updated
- September 11, 2025
Life Source Center, INC is a healthcare organization based in Cheshire, CT. Life Source Center, INC practices in Cheshire, CT. The NPI Number for Life Source Center, INC is 1780795559 and holds a License No. 000402 (CT). The current practice location address for Life Source Center, INC is 45 Arrowleaf CT, Cheshire, CT 06410-3312 and can be reached out via phone at 860-628-8474 and via fax at 860-621-0850.
Provider Profile Details
- NPI Number
- 1780795559
- Provider Name
- Life Source Center, INC
- Provider Entity Type
- Organization
- Address
- 45 Arrowleaf CT, Cheshire, CT 06410-3312
- Phone Number
- 860-628-8474
- Fax Number
- 860-621-0850
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Raymond Steven Shocki, MSW · Executive Director · 860-628-8474
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Arrowleaf CT
Cheshire, CT 06410-3312 - City
- Cheshire
- State
- Connecticut
- Zip
- 06410-3312
- Phone Number
- 860-628-8474
- Fax Number
- 860-621-0850
Provider Business Mailing Address Details
- Address
- 710 Main St
Building 3, Suite 9
Plantsville, CT 06479-1565 - City
- Plantsville
- State
- CT
- Zip
- 06479-1565
- Phone Number
- 860-628-8474
License Information
- License Number (1)
- 000402
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 000320
- License State (2)
- CT
- Taxonomy (2)
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Marriage & Family Therapists near Cheshire, CT
View all Marriage & Family Therapists in Cheshire →- Allison Ramos, LMFTMarriage & Family Therapist · NPI 1063887008
- Cathleen M. Mcinerney, LLCMarriage & Family Therapist · NPI 1265923403
- Chanel Myers, LMFTMarriage & Family Therapist · NPI 1871943621
- Chanel Myers, Lmft, Llc8Marriage & Family Therapist · NPI 1619425097
- Compass Counseling ServicesMarriage & Family Therapist · NPI 1316762727
- Dr. Laura L Langston, PHD, LMFTMarriage & Family Therapist · NPI 1942614581
Frequently Asked Questions
What is the NPI number of Life Source Center, INC?
The NPI number of Life Source Center, INC is 1780795559. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Life Source Center, INC?
Life Source Center, INC is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 000402.
Where does Life Source Center, INC practice?
The practice location is 45 Arrowleaf CT, Cheshire, CT 06410-3312. The office can be reached at 860-628-8474 (phone) or 860-621-0850 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780795559 directly on the NPPES registry website.