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General NPI Number Information
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NPI Number | 1568061851
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Entity Type | Organization
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Legal Business Name | LIFE'S JOY PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 215 N STATE ST STE 1
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City | CARO
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State | MI
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Zip | 48723-1578
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Country | US
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Telephone | 989-787-0028
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Fax | 989-331-6790
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Provider Business Mailing Address
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Address Line | PO BOX 301
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City | CARO
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State | MI
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Zip | 48723-0301
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Country | US
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Telephone | 989-787-0028
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Fax | 989-331-6790
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHERINE BRISTOL
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Credential | MSW, LMSW
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Telephone | 989-787-0028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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