Provider Demographics
NPI:1902041809
Name:YOUTH FOR CHRIST
Entity Type:Organization
Organization Name:YOUTH FOR CHRIST
Other - Org Name:LIFE MATTERS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:BIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:260-824-1330
Mailing Address - Street 1:1515 SUTTON CIRCLE DR N
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:IN
Mailing Address - Zip Code:46714-1142
Mailing Address - Country:US
Mailing Address - Phone:260-824-1330
Mailing Address - Fax:260-824-1374
Practice Address - Street 1:1515 SUTTON CIRCLE DR N
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:IN
Practice Address - Zip Code:46714-1142
Practice Address - Country:US
Practice Address - Phone:260-824-1330
Practice Address - Fax:260-824-1374
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUTH FOR CHRIST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-05
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty