Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cultivating Life Clinic

Organization Psychiatry Physician · NPI 1982415873

Cultivating Life Clinic is a Psychiatry Physician in South Bend, Indiana. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

3607 S Main St
South Bend, IN 46614-1723
Phone: (574) 444-0256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1982415873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larissa Chism Buggs — Medical Director · (574) 444-0256
NPI enumeratedJanuary 18, 2025
Last updated in NPPESJanuary 18, 2025
Certification dateJanuary 18, 2025
Mailing address3607 S Main St Ste 1, South Bend, IN 46614-1723

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