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

Life Source, Inc

Organization Mental Health Counselor · NPI 1619098332

Life Source, Inc is a Mental Health Counselor in Roseville, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2530 Douglas Blvd Ste 160
Roseville, CA 95661-3989
Phone: (916) 784-0110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1619098332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Orville Easterly — Clinical Director · (916) 784-0110
NPI enumeratedApril 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2530 Douglas Blvd, Suite 160, Roseville, CA 95661-3989

Other providers in Roseville