Life'S Journeys LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE'S JOURNEYS LLC

Doing business as

Purposeful Moments

Practice address

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

Phone

(313) 706-6306

NPI assigned

Feb 28, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Joann Mosby, L.P.C.NPI 1033415062

Title

Chief Executive Officer

Phone

(313) 706-6306

Specialties & licenses 1

Addresses

Other names 1

• Purposeful Moments Doing business as

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.

• Life'S Journeys LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1033867254
  NPD tax ID

Practitioners 1

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

• Crystal Joann Mosby, L.L.P.C.

  • Professional Counselor
  • Lathrup Village, MI
  • NPI 1033415062
  NPD Authorized official

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1205420429",
    "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": [
        {
            "address_1": "27601 Morningside Plz",
            "address_purpose": "LOCATION",
            "city": "Lathrup Village",
            "state": "MI",
            "postal_code": "480763266",
            "country_code": "US",
            "telephone_number": "313-706-6306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE'S JOURNEYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-28",
        "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": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "313-706-6306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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"
        }
    ]
}

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• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• 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.