# LIFE ENRICHMENT CENTER LLC

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

## Provider details

- **NPI number:** 1831179266
- **Authorized official:** MR. EDWARD C BLOCH LSCSW (PARTNER)
- **Authorized official phone:** (785) 842-2752

## Contact information

- **Practice address:** 2619 W 6TH ST STE G, LAWRENCE, KS 66049-4300
- **Practice address phone:** (785) 842-2752
- **Practice address fax:** (785) 842-2750
- **Mailing address:** 4000 W 6TH ST \# 130, LAWRENCE, KS 66049-3204
- **Mailing address phone:** (785) 842-2752
- **Mailing address fax:** (785) 842-2750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCS 2132 | KS | — |
| 106H00000X | Marriage & Family Therapist | LCMFT 246 | KS | Yes |

## Other

- **Enumeration date:** 01/20/2006
- **Last updated:** 02/03/2019