LK Child and Family Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

35001637A Issued in IN

Legal business name

LK CHILD AND FAMILY THERAPY, LLC

Practice address

3806 Southland Ave Ste B
Kokomo, IN 46902-3833

Phone

(765) 860-1229

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Lisa Minnick

Title

Office Manager

Phone

(812) 828-7637

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1649649609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 SOUTHLAND AVE STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023833",
            "telephone_number": "765-860-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 SOUTHLAND AVE STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023833",
            "telephone_number": "765-860-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK CHILD AND FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-828-7637"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39001655A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "35001637A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Lindley
• James M Lindsey, DDS
• Brooke Lipinski
• Amy E Little, LCSW
• Daniel Seth Livingston, M.D.
• Brittany R Lockert
• Nicole Lockwood, MD
• Zain Alexander Loges
• Carmon Long
• Gloria K. Long, MACCC-SLP

• Community/Behavioral Health Agency in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.