Lifes Path Therapy LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

PC010538 Issued in PA

Legal business name

LIFES PATH THERAPY LLC

Practice address

922 Church St FL 2
Honesdale, PA 18431-1921

Phone

(570) 561-6626

Fax

(570) 904-8066

NPI assigned

Aug 6, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sara Wentz, MA, NCC, LPCNPI 1619488574

Title

Owner/ Counselor

Phone

(570) 561-6626

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Wentz

  • Professional Counselor
  • Honesdale, PA
  • NPI 1619488574
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1215415732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 TRYON ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 CHURCH ST FL 2",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311921",
            "telephone_number": "570-561-6626",
            "fax_number": "570-904-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES PATH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER/ COUNSELOR",
        "authorized_official_telephone_number": "570-561-6626",
        "authorized_official_credential": "MA, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "PC010538",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "PC010538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Lavin, RPH
• Susan Lavin, RPH
• Lawrence G Caruth DMD Assoc
• Guanqun Li
• Carol Rickard Lienert, NP
• Teka Lill, COTA/L
• Chang Sein Lim, MD
• Jillian Lisowski
• Claire Little, MA
• Philip G Liu, MD

• Adolescent and Children Mental Health Clinic/Center in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Adolescent and Children Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.