Healthcare Provider Details
I. General information
NPI: 1073166468
Provider Name (Legal Business Name): ESSENCE OF LIFE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2019
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7536 GREELEY ST
UTICA MI
48317-5429
US
IV. Provider business mailing address
7536 GREELEY ST
UTICA MI
48317-5429
US
V. Phone/Fax
- Phone: 586-604-5361
- Fax:
- Phone: 586-604-5361
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LILIANA
PACITTI
Title or Position: OWNER
Credential: LPC
Phone: 586-604-5361