Active NPI
Speak Life Identity LLC
Doing business as Speak Life
- Community Health Worker
- Ypsilanti, MI
National Provider Identifier
1174326508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- SPEAK LIFE IDENTITY LLC
- Doing business as
- Speak Life
- Practice address
- 2123 Moeller Ave
Ypsilanti, MI 48198-9104 - Phone
- (313) 622-3780
- NPI assigned
- Mar 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd A Williams, CHW
- Title
- Owner /CHW
- Phone
- (313) 622-3780
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
2123 Moeller Ave
Ypsilanti, MI 48198-9104
Mailing address
2123 Moeller Ave
Ypsilanti, MI 48198-9104
Phone (313) 622-3780
Other names 1
- Speak Life
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Ypsilanti, MI
- NPI 1922822733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1174326508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 MOELLER AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481989104",
"telephone_number": "313-622-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 MOELLER AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481989104",
"telephone_number": "313-622-3780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEAK LIFE IDENTITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER /CHW",
"authorized_official_telephone_number": "313-622-3780",
"authorized_official_credential": "CHW"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Speak Life",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.