| Life Practice Llc | |
|
2006 S Wayne Rd Westland MI 48186-5428 | |
| (313) 799-0093 | |
| (734) 467-3965 |
| Full Name | Life Practice Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2006 S Wayne Rd, Westland, Michigan |
| Authorized Official Name and Position | Betty Ann Rickman (THERAPIST) |
| Authorized Official Contact | 3137990093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Practice Llc 2006 S Wayne Rd Westland MI 48186-5428 Ph: (313) 799-0093 | Life Practice Llc 2006 S Wayne Rd Westland MI 48186-5428 Ph: (313) 799-0093 |
| NPI Number | 1669725875 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669725875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801035053 (Michigan) | Secondary |
| 251S00000X | Community/behavioral Health | 6401006504 (Michigan) | Primary |
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