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

The Life Center Complex, Inc

Organization Clinical Social Worker · NPI 1710725494

The Life Center Complex, Inc is a Clinical Social Worker in Chester, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
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

1350 Edgmont Ave
Chester, PA 19013-3962
Phone: (302) 407-5316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X
Clinical Social Worker Taxonomy 1041C0700X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1710725494
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Life Center Complex, Inc
Authorized official Forrest Watson — Ceo · (302) 407-5316
Other names The Life Health Center @ Edgemont
NPI enumeratedJuly 17, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address812 Philadelphia Pike Fl 2, Wilmington, DE 19809-2372

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