# LIFE ARTS COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639395858
- **Authorized official:** VERA STAMENKOVIC M.S. (MFCC)
- **Authorized official phone:** (951) 683-6322

## Contact information

- **Practice address:** 4205 MARKET ST STE 2, DOWNTOWN RIVERSIDE, RIVERSIDE, CA 92501-3515
- **Practice address phone:** (951) 683-6322
- **Practice address fax:** (951) 683-6900
- **Mailing address:** PO BOX 1145, RIVERSIDE, CA 92502-1145
- **Mailing address phone:** (951) 683-6322
- **Mailing address fax:** (951) 683-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC25858 | CA | Yes |
| 251S00000X | Community/Behavioral Health Agency | MFC25858 | CA | — |
| 305R00000X | Preferred Provider Organization | MFC25858 | CA | — |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/26/2014