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General NPI Number Information
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NPI Number | 1831903459
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Entity Type | Organization
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Legal Business Name | A LIFE HEALING AGENCY, INC.
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 23015 SHAKESPEARE AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-1717
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Country | US
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Telephone | 586-500-2561
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Fax | 586-846-2462
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Provider Business Mailing Address
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Address Line | 148 S MAIN ST STE 103B
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-7914
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Country | US
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Telephone | 586-746-4469
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MONICA S DRAKE-LOVE
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Credential | CHW
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Telephone | 586-746-4469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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