Organization · Type 2 NPI

Life Source Center, Inc

Marriage & Family Therapist · Cheshire, CT

NPI number 1780795559 Active

Practice location

45 Arrowleaf Ct
Cheshire, CT 06410-3312

Call (860) 628-8474 Map

Fax (860) 621-0850

Mailing address

710 Main St, Building 3, Suite 9
Plantsville, CT 06479-1565

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X000402 (CT)
Marriage & Family Therapist Primary 106H00000X000320 (CT)

Marriage & Family Therapist: 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 ment…

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About NPI 1780795559

Life Source Center, Inc's National Provider Identifier is 1780795559, issued on Aug 31, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Cheshire, CT. The record was last updated on Sep 11, 2025.