Provider Type Icon

LIFE MENTORING INC. NPI 1235773664


NPI Information

NPI: 1235773664
Provider Name: LIFE MENTORING INC.
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
123 HARRINGTON AVE APT 2B
CROWN POINT, IN
ZIP 46307
Phone: (219) 730-2909
Get Directions

LIFE MENTORING INC. is an adolescent and children mental health clinic center in Crown Point, IN. The provider is 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. LIFE MENTORING INC. NPI is 1235773664. The provider is registered as an organization entity type.

The provider's business location address is:

123 HARRINGTON AVE APT 2B
CROWN POINT, IN
ZIP 46307-843
Phone: (219) 730-2909

The provider's authorized official is Robert James Dutko .
The authorized official title is Co-partner and has the following contact phone number (219) 730-2909.

The enumeration date for this NPI number is 10/29/2019 and was last updated on 10/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.