| Life Journey Pllc | |
|
2013 East Castle Drive Sw Suite B Grand Rapids MI 49508 | |
| (616) 888-1120 | |
| (616) 469-1113 |
| Full Name | Life Journey Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2013 East Castle Drive Sw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Urminda Sue Firlan (PSYCHOLOGIST) |
| Authorized Official Contact | 6169019507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Journey Pllc 2013 East Castle Drive Sw Suite B Grand Rapids MI 49508 Ph: (616) 888-1060 | Life Journey Pllc 2013 East Castle Drive Sw Suite B Grand Rapids MI 49508 Ph: (616) 888-1120 |
| NPI Number | 1538531017 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Medicare PECOS PAC ID | 4688005697 |
|---|---|
| Medicare Enrollment ID | O20200507000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538531017 | NPI | - | NPPES |
| Provider Name | Urminda S Firlan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629440979 PECOS PAC ID: 2668803685 Enrollment ID: I20200507002089 |
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