Organization
CENTER FOR LIFE CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI EILEEN GROVES MMFT (MARRIAGE AND FAMILY THERAPIST)
(219) 866-7869
Entity
Organization
Contact information
Practice address
1317 15TH ST SE, DEMOTTE, IN 46310-9393
(219) 987-3719
(219) 987-7729
Mailing address
1103 EAST GRACE STREET, BUILDING 2, RENSSELAER, IN 47978
(219) 866-7869
(219) 866-0688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201049690A
—
IN
Enumeration date
08/26/2011
Last updated
04/24/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us