LIFE STAGES THERAPY CENTER, INC
NPI 1376974378
Psychologist - Clinical in Fort Wayne, IN

Q: What is Life Stages Therapy Center, Inc's NPI number?

The NPI number for Life Stages Therapy Center, Inc is 1376974378. It was assigned to this organization in the NPPES registry on December 2, 2013.

Q: What is Life Stages Therapy Center, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 02, 2013

409 E COOK RD, SUITE 100, FORT WAYNE, IN 46825(260) 498-9933 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Life Stages Therapy Center, Inc NPPES

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

LIFE STAGES THERAPY CENTER, INC (NPI 1376974378) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since December 2013. The organization lists Marla Jean Souder, President/coo, as its authorized official.

NPPES Registry Identity

NPI1376974378

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLIFE STAGES THERAPY CENTER, INC

Location Address409 E COOK RD, SUITE 100Fort Wayne, IN 46825-3600

Mailing Address2599 County Road 72Auburn, IN 46706-9624 · (260) 498-9933

Phone(260) 498-9933

Organization SubpartNo

Authorized OfficialMarla Jean SouderPresident/coo · (260) 498-9933

Enumeration DateDecember 2, 2013

✔ NPI 1376974378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20042225A

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedPsychologist · SchoolTaxonomy 103TS0200X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedDevelopmental TherapistTaxonomy 222Q00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

409 E COOK RD, Fort Wayne, IN 46825

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

INTERDISCIPLINARY COMMUNITY AUTISM NETWORK, INC

Community/Behavioral Health

409 E COOK RD, SUITE 100
FORT WAYNE, IN 46825

Allen County (260) 498-9933

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 Stages Therapy Center, Inc's NPI number?

The NPI number for Life Stages Therapy Center, Inc is 1376974378. It was assigned to this organization in the NPPES registry on December 2, 2013.

Where is Life Stages Therapy Center, Inc located?

Life Stages Therapy Center, Inc is located at 409 E Cook Rd Suite 100, Fort Wayne, IN 46825. The listed phone number is (260) 498-9933.

What is Life Stages Therapy Center, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Life Stages Therapy Center, Inc was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.