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

Lived Experience Therapy and Consulting LLC

Organization Clinical Social Worker · NPI 1568286763

Lived Experience Therapy and Consulting LLC is a Clinical Social Worker in Bloomington, Indiana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

405 W 6th St
Bloomington, IN 47404-3904
Phone: (812) 221-1142
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1568286763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constance Johnson — Ceo · (812) 221-1142
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 23, 2024
Certification dateNovember 23, 2024
Mailing address405 W 6th St Ste D1b, Bloomington, IN 47404-3905

Other providers in Bloomington