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

Life Stages Therapy Center, Inc

Organization Counselor · NPI 1376974378

Life Stages Therapy Center, Inc is a Counselor in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
Specialties on file
12
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

409 E Cook Rd Ste 100
Fort Wayne, IN 46825-3600
Phone: (260) 498-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20042225A (IN)
Counselor Taxonomy 101Y00000X
School Psychologist Taxonomy 103TS0200X
Social Worker Taxonomy 104100000X
Marriage & Family Therapist Taxonomy 106H00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
General Practice Physician Taxonomy 208D00000X
Developmental Therapist Taxonomy 222Q00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1376974378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marla Souder — President/Coo · (260) 498-9933
NPI enumeratedDecember 2, 2013
Last updated in NPPESDecember 2, 2013
Mailing address2599 County Road 72, Auburn, IN 46706-9624

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