Lifes Healthy Pathways LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801083840 Issued in MI

Legal business name

LIFES HEALTHY PATHWAYS LLC

Practice address

240 S Bridge St
Suite 220
Dewitt, MI 48820-8825

Phone

(517) 277-0200

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Marilyn Ruth-Coombs McLane, LMSW

Title

Owner

Phone

(517) 277-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1114292042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W MAPLE ST",
            "address_2": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541657",
            "telephone_number": "517-676-9788",
            "fax_number": "517-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S BRIDGE ST",
            "address_2": "SUITE 220",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208825",
            "telephone_number": "517-277-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES HEALTHY PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "MCLANE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "RUTH-COOMBS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-277-0200",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801083840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Dewitt, MI
• Providers in Dewitt, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.