Life Guidance Services in Grand Rapids - Psychologist
Life Guidance Services - NPI 1336185032
Life Guidance Services is a Psychologist in Grand Rapids, Michigan. Life Guidance Services practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Life Guidance Services is 1336185032. The last update date is 2011-06-07.
Life Guidance Services's current location address is 1400 Leonard St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169541992 and fax number 6169541998. The mailing address for Life Guidance Services is 1400 Leonard St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Guidance Services |
|---|---|
| Address | 1400 Leonard St Ne, Grand Rapids, Michigan |
| Phone Number | 6169541992 |
| Fax Number | 6169541998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Fogel L Dan |
| Credentials | MA,LLP |
| Telephone Number | 6169541992 |
NPI Number Detail
| NPI Number | 1336185032 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2011-06-07 |
Provider Mailing Address Detail
| Address | 1400 Leonard St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495055515 |
| Phone Number | 6169541992 |
| Fax Number | 6169541998 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Life Guidance Services by the Centers for Medicare & Medicaid Services?
The Life Guidance Services has been assigned the NPI (National Provider Identifier) 1336185032 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Life Guidance Services's facilities are geographically located?
The facilities of Life Guidance Services are physically situated at the following location: 1400 Leonard St Ne, Grand Rapids, MI, 495055515.
What is Life Guidance Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Life Guidance Services's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336185032 to Life Guidance Services?
The Life Guidance Services received its 1336185032 assignment from the Centers for Medicare & Medicaid Services on 2006-06-21.
As of what date was the information regarding Life Guidance Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Life Guidance Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY