LIFE STORY COUNSELING LLC
NPI 1063094613
Counselor - Mental Health in Fort Wayne, IN

Active since April 23, 2021
3290 MALLARD COVE LN, FORT WAYNE, IN 46804(260) 271-5026 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2023, Apr 23, 2021 (2 updates tracked since 2021).

About Life Story Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE STORY COUNSELING LLC (NPI 1063094613) is a healthcare organization registered as a mental health in Fort Wayne, Indiana and active in the NPI registry since April 2021. The organization lists Veronica R Sanderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1063094613
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIFE STORY COUNSELING LLC
Location Address3290 MALLARD COVE LNFort Wayne, IN 46804-2883
Mailing Address3290 Mallard Cove LnFort Wayne, IN 46804-2883 · (260) 271-5026
Organization SubpartNo
Authorized OfficialVeronica R SandersonOwner · (260) 271-5026
Enumeration DateApril 23, 2021
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
NPI 1063094613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3290 MALLARD COVE LN, Fort Wayne, IN 46804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3290 MALLARD COVE LN
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Story Counseling LLC's NPI number?

The NPI number for Life Story Counseling LLC is 1063094613. It was assigned to this organization in the NPPES registry on April 23, 2021.

Where is Life Story Counseling LLC located?

Life Story Counseling LLC is located at 3290 Mallard Cove Ln, Fort Wayne, IN 46804. The listed phone number is (260) 271-5026.

What is Life Story Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Life Story Counseling LLC was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.