LK CHILD AND FAMILY THERAPY, LLC
NPI 1649649609
Community/Behavioral Health in Kokomo, IN

Active since September 21, 2015
3806 SOUTHLAND AVE STE B, KOKOMO, IN 46902(765) 860-1229 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About LK CHILD AND FAMILY THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Lk Child And Family Therapy, Llc, a provider established in Kokomo, Indiana operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1649649609 assigned on September 2015. The practitioner's primary taxonomy code is 251S00000X with license number 35001637A (IN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Lisa Minnick (Office Manager)

NPI
1649649609 Verify this NPI
Provider Name
LK CHILD AND FAMILY THERAPY, LLC
Entity Type
Organization
Location Address
3806 SOUTHLAND AVE STE B KOKOMO, IN 46902
Location Phone
(765) 860-1229
Mailing Address
3806 SOUTHLAND AVE STE B KOKOMO, IN 46902
Mailing Phone
(765) 860-1229
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2015
Last Update Date
09-21-2015
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
35001637A
License State
IN
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

39001655A (IN)

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

LISA MINNICK

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(812) 828-7637

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649649609, enumerated as an "organization" on September 21, 2015.

The provider is located at 3806 SOUTHLAND AVE STE B KOKOMO, IN 46902 and the phone number is (765) 860-1229.

Community/Behavioral Health with taxonomy code 251S00000X.