LIFE WATER SUPPORT SERVICES LLC NPI 1598134983

NPI Information

NPI: 1598134983
Provider Name: LIFE WATER SUPPORT SERVICES LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
23999 W 10 MILE RD # 220
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 327-6593
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LIFE WATER SUPPORT SERVICES LLC is a professional counselor in Southfield, MI. LIFE WATER SUPPORT SERVICES LLC NPI is 1598134983. The provider is registered as an organization entity type.

The provider's business location address is:

23999 W 10 MILE RD # 220
SOUTHFIELD, MI
ZIP 48033-158
Phone: (248) 327-6593
Fax: (248) 996-8903

The provider's authorized official is Kim Latease Bishopjohnson .
The authorized official title is Director and has the following contact phone number (734) 444-8512.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management				No
2	251S00000X	Community/Behavioral Health		6401009531	MICHIGAN	No
3	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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