Healthcare Provider Details

I. General information

NPI: 1275338857
Provider Name (Legal Business Name): LIFE CHANGE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4612 PLAINFIELD AVE NE
GRAND RAPIDS MI
49525-1229
US

IV. Provider business mailing address

2222 W GRAND RIVER AVE STE A
OKEMOS MI
48864-1604
US

V. Phone/Fax

Practice location:
  • Phone: 906-319-8725
  • Fax:
Mailing address:
  • Phone: 906-319-8725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: BRIGID HAVENS
Title or Position: COUNSELOR
Credential: LPC
Phone: 906-319-8725