| Life Cycle Counseling, Llc | |
|
37799 Professional Dr Livonia MI 48154-1153 | |
| (248) 229-5245 | |
| (248) 242-6200 |
| Full Name | Life Cycle Counseling, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 37799 Professional Dr, Livonia, Michigan |
| Authorized Official Name and Position | Donald James Mcmillan (OWNER) |
| Authorized Official Contact | 2482292631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Cycle Counseling, Llc 6938 Ellinwood Dr White Lake MI 48383-3043 Ph: (248) 229-2631 | Life Cycle Counseling, Llc 37799 Professional Dr Livonia MI 48154-1153 Ph: (248) 229-5245 |
| NPI Number | 1659529139 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Medicare PECOS PAC ID | 7214074244 |
|---|---|
| Medicare Enrollment ID | O20091023000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659529139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301013424 (Michigan) | Primary |
| Provider Name | Donald James Mcmillan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205978749 PECOS PAC ID: 1052458080 Enrollment ID: I20091023000657 |
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