| Life Guidance Services | |
|
1400 Leonard St Ne Grand Rapids MI 49505-5515 | |
| (616) 954-1992 | |
| (616) 954-1998 |
| Full Name | Life Guidance Services |
|---|---|
| Speciality | Social Worker |
| Location | 1400 Leonard St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Dan L Fogel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6169541992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Guidance Services 330 Eastern Ne Grand Rapids MI 49503 Ph: (616) 776-0891 | Life Guidance Services 1400 Leonard St Ne Grand Rapids MI 49505-5515 Ph: (616) 954-1992 |
| NPI Number | 1336185032 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336185032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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