DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIFE GUIDANCE SERVICES

MEDICARE: LIFE GUIDANCE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2104100000XSocial Worker

General Provider Information

NPI Number : 1336185032
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE GUIDANCE SERVICES
Provider Business Mailing Address
First Line : 330 EASTERN NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503
Country : US
Telephone Number : 616-776-0891
Fax Number : 616-233-0718
Provider Business Practice Location Address
First Line : 1400 LEONARD ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49505-5515
Country : US
Telephone Number : 616-954-1992
Fax Number : 616-954-1998
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. DAN L FOGEL
Credential : MA,LLP
Telephone Number : 616-954-1992
Provider Enumeration Date : 06/21/2006
Last Update Date : 06/07/2011

Similar Medicare Providers

1477020592 — CAROL POTTS
Practice Location Address:
1450 LEONARD ST NE
GRAND RAPIDS, MI
49505-5515
Practice Phone: 616-301-8000
Practice Fax:
1932065174 — MICHAEL ALEXANDER PATTERSON RN
Practice Location Address:
1450 LEONARD ST NE
GRAND RAPIDS, MI
49505-5515
Practice Phone: 616-301-8000
Practice Fax:
1861590333 — MRS. SUE MCKENZIE TALBERT RD CDE LDN
Practice Location Address:
1450 LEONARD ST NE
GRAND RAPIDS, MI
49505-5515
Practice Phone: 616-774-8789
Practice Fax:
1649379678 — NANETTE JUNE KERWICK LMSW CAADC
Practice Location Address:
1400 LEONARD ST NE
GRAND RAPIDS, MI
49505-5515
Practice Phone: 616-954-1992
Practice Fax: 616-954-1998
1184789737 — MR. JOSEPH L GAGE LPN
Practice Location Address:
1450 LEONARD ST NE
GRAND RAPIDS, MI
49505-5515
Practice Phone: 616-774-8789
Practice Fax: 616-475-7570
1033268362 — REBECCA LYNN ROEDE LBSW
Practice Location Address:
1450 LEONARD ST NE
GRAND RAPIDS, MI
49505-5515
Practice Phone: 616-774-8789
Practice Fax: 616-774-2072

Directions to “LIFE GUIDANCE SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.