Provider Demographics
NPI:1265619811
Name:LIFE PATH COUNSELING, LLC
Entity type:Organization
Organization Name:LIFE PATH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:J
Authorized Official - Last Name:STROMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:875-856-0787
Mailing Address - Street 1:805 NEW HAMPSHIRE ST
Mailing Address - Street 2:STE B
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2739
Mailing Address - Country:US
Mailing Address - Phone:785-856-0787
Mailing Address - Fax:785-856-0787
Practice Address - Street 1:805 NEW HAMPSHIRE ST
Practice Address - Street 2:STE B
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2739
Practice Address - Country:US
Practice Address - Phone:785-856-0787
Practice Address - Fax:785-856-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty