Organization Active NPI

Life'S Journeys LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
National Provider Identifier
1033867254
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIFE'S JOURNEYS LLC
Practice address
17336 W 12 Mile Rd Ste 104
Southfield, MI 48076-2113
Phone
(313) 706-6306
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Crystal Joann Mosby, LPCNPI 1033415062
Title
Ceo
Phone
(313) 706-6306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

17336 W 12 Mile Rd Ste 104
Southfield, MI 48076-2113

Mailing address

17336 W 12 Mile Rd Ste 104
Southfield, MI 48076-2113
Phone (313) 706-6306

Other names 1

  • Purposeful Moments Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life'S Journeys LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17336 W 12 Mile Rd
Ste 104
Southfield, MI 48076
Phone (248) 395-3998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1033867254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17336 W 12 MILE RD STE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762113",
            "telephone_number": "313-706-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 W 12 MILE RD STE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762113",
            "telephone_number": "313-706-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S JOURNEYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "MOSBY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-706-6306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purposeful Moments",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Purposeful Moments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.