Healthcare Provider Details

I. General information

NPI: 1437290020
Provider Name (Legal Business Name): TODAYS LIFE CHOICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6210 SAINT JAMES DR
WEST BLOOMFIELD MI
48322-2401
US

IV. Provider business mailing address

6210 SAINT JAMES DR
WEST BLOOMFIELD MI
48322-2401
US

V. Phone/Fax

Practice location:
  • Phone: 313-475-1854
  • Fax: 248-757-2794
Mailing address:
  • Phone: 313-475-1854
  • Fax: 248-757-2794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number68011088398
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number6801088398
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberW426560522995
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number6801088398
License Number StateMI

VIII. Authorized Official

Name: MRS. LUCINDA LILLIE WILKERSONBROWN
Title or Position: SOLE PROPRIETOR
Credential: MSW
Phone: 313-475-1854