NPIMap

Organization Active NPI

Key of Life, LLC

  • Behavior Analyst
  • Hamtramck, MI
National Provider Identifier
1114789526
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KEY OF LIFE, LLC
Practice address
3002 Carpenter St
Hamtramck, MI 48212-2768
Phone
(586) 265-8230
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Gina Ibrahim, BCBANPI 1326663832
Title
Owner
Phone
(586) 265-8230

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
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3002 Carpenter St
Hamtramck, MI 48212-2768

Mailing address

3002 Carpenter St
Hamtramck, MI 48212-2768
Phone (313) 288-9793

Other names 1

  • Key of life therapy Other name

National Provider Directory

National Provider Directory

Locations

3002 Carpenter St
Hamtramck, MI 48212
Phone (313) 288-9793

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1114789526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 CARPENTER ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122768",
            "telephone_number": "313-288-9793",
            "fax_number": "313-447-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 CARPENTER ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122768",
            "telephone_number": "586-265-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY OF LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-265-8230",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key of life therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.