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Organization
LIFE AND TRAUMA SURVIVOR CENTER LLC
Active
Organization
LIFE AND TRAUMA SURVIVOR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE ANN SHIVOK LMHC (OWNER)
(219) 241-0212
Entity
Organization
Contact information
Practice address
402 WALL ST STE 42, VALPARAISO, IN 46383-2572
(219) 510-8043
(219) 241-8044
Mailing address
402 WALL ST STE 42, VALPARAISO, IN 46383-2572
(219) 510-8043
(219) 510-8044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/08/2019
Last updated
11/04/2024
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