Life Changing Therapeutic Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFE CHANGING THERAPEUTIC SERVICES, LLC

Doing business as

Life Changing Therapeutic Services, LLC

Practice address

25645 Kilreigh Dr
Farmington Hills, MI 48336-1552

Phone

(313) 475-0332

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gricelda Ramsey, LMSWNPI 1003237595

Title

Owner

Phone

(313) 475-0332

Specialties & licenses 1

Addresses

Other names 1

• Life Changing Therapeutic Services, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gricelda Ramsey, LMSW

  • Social Worker
  • Farmington Hills, MI
  • NPI 1003237595
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1043832926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25645 KILREIGH DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361552",
            "telephone_number": "313-475-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25645 KILREIGH DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361552",
            "telephone_number": "313-475-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGING THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "GRICELDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-475-0332",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Changing Therapeutic Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.