Life Stages Therapy Center, Inc
NPI 1376974378 · Clinical Psychologist · Fort Wayne, IN
Life Stages Therapy Center, Inc is a Clinical Psychologist organization in Fort Wayne, IN (NPI 1376974378).
Provider details
- NPI number
- 1376974378
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Marla Souder, President/Coo(260) 498-9933
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- School Psychologist103TS0200X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- General Practice Physician208D00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-12-02
- Last updated
- 2013-12-02
Frequently asked questions
- What is Life Stages Therapy Center, Inc's NPI number?
- Life Stages Therapy Center, Inc's National Provider Identifier (NPI) is 1376974378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Stages Therapy Center, Inc?
- Life Stages Therapy Center, Inc is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Life Stages Therapy Center, Inc located?
- Life Stages Therapy Center, Inc's practice location on file with NPPES is 409 E Cook Rd, Fort Wayne, IN 46825-3600.
- What is Life Stages Therapy Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Stages Therapy Center, Inc is (260) 498-9933.
- Who is the authorized official for Life Stages Therapy Center, Inc?
- The authorized official listed on Life Stages Therapy Center, Inc's NPPES record is Marla Souder, President/Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Stages Therapy Center, Inc's NPI active?
- Yes — Life Stages Therapy Center, Inc's NPI (1376974378) is active in the NPPES registry as of the last update on 2013-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.