MEDICARE: BEST LIFE COACHING, COUNSELING, AND CONSULTING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1689046062	OTHER		NPI

General Provider Information

NPI Number	:	1598440711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST LIFE COACHING, COUNSELING, AND CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	29464 SHENANDOAH DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-2463
Country	:	US
Telephone Number	:	248-821-5577
Fax Number	:	888-523-5724

Provider Business Practice Location Address
First Line	:	29464 SHENANDOAH DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-2463
Country	:	US
Telephone Number	:	248-821-5577
Fax Number	:	888-523-5724

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHERYL MERCHANT
Credential	:	LPC
Telephone Number	:	248-821-5577

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	06/15/2023

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