LIFE MENTORING INC.
NPI 1235773664
Clinic/Center - Adolescent and Children Mental Health in Crown Point, IN

Active since October 29, 2019
123 HARRINGTON AVE APT 2B, CROWN POINT, IN 46307(219) 730-2909 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About LIFE MENTORING INC.

This page provides the complete NPI Profile along with additional information for Life Mentoring Inc., a provider established in Crown Point, Indiana operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1235773664 assigned on October 2019. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Robert James Dutko (Co-partner)

NPI
1235773664 Verify this NPI
Provider Name
LIFE MENTORING INC.
Entity Type
Organization
Location Address
123 HARRINGTON AVE APT 2B CROWN POINT, IN 46307
Location Phone
(219) 730-2909
Mailing Address
123 HARRINGTON AVE APT 2B CROWN POINT, IN 46307
Mailing Phone
(219) 730-2909
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2019
Last Update Date
10-29-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT JAMES DUTKO

Authorized Official Title
CO-PARTNER
Authorized Official Phone
(219) 730-2909

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235773664, enumerated as an "organization" on October 29, 2019.

The provider is located at 123 HARRINGTON AVE APT 2B CROWN POINT, IN 46307 and the phone number is (219) 730-2909.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.