Healthcare Provider Details

I. General information

NPI: 1477015824
Provider Name (Legal Business Name): LIVING IN THE PAUSE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2483 S LINDEN RD STE 130
FLINT MI
48532-5435
US

IV. Provider business mailing address

2483 S LINDEN RD STE 130
FLINT MI
48532-5435
US

V. Phone/Fax

Practice location:
  • Phone: 810-701-8493
  • Fax:
Mailing address:
  • Phone: 810-701-8493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KASIE NICKEL-WHITE
Title or Position: COOWNER/ CEO
Credential: LMSW
Phone: 810-701-8493