LIFE SOURCE CENTER, INC
NPI 1780795559
Marriage & Family Therapist in Cheshire, CT

Active since August 31, 2006
45 ARROWLEAF CT, CHESHIRE, CT 06410(860) 628-8474(860) 621-0850 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Life Source Center, Inc NPPES

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

LIFE SOURCE CENTER, INC (NPI 1780795559) is a healthcare organization registered as a marriage & family therapist in Cheshire, Connecticut and active in the NPI registry since August 2006. The organization lists Raymond Steven Shocki, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1780795559
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameLIFE SOURCE CENTER, INC
Location Address45 ARROWLEAF CTCheshire, CT 06410-3312
Mailing Address710 Main St, Building 3, Suite 9Plantsville, CT 06479-1565 · (860) 628-8474
Fax(860) 621-0850
Organization SubpartNo
Authorized OfficialRaymond Steven ShockiExecutive Director · (860) 628-8474
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1780795559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CT · 000320
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 000402 (CT)

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

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 Source Center, Inc's NPI number?

The NPI number for Life Source Center, Inc is 1780795559. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Life Source Center, Inc located?

Life Source Center, Inc is located at 45 Arrowleaf Ct, Cheshire, CT 06410. The listed phone number is (860) 628-8474.

What is Life Source Center, Inc's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Life Source Center, Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.