Lifestyle Coaches LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

LIFESTYLE COACHES LLC

Practice address

15565 Northland Dr W Ste 101W
Southfield, MI 48075-5300

Phone

(248) 905-3111

Fax

(248) 995-3774

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Charita Herron

Title

Chief Executive Officer

Phone

(248) 688-5806

Specialties & licenses 2

Addresses

Other names 3

• LSC Aerobic Fitness Boutique Doing business as
• LSC FITNESS STUDIO Other name
• NUHB Wellness Center Boutique Other name

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: info@lifestylescoaches.com

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1235640152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22519 TELEGRAPH RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334106",
            "telephone_number": "248-688-5806",
            "fax_number": "248-905-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W STE 101W",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755300",
            "telephone_number": "248-905-3111",
            "fax_number": "248-995-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22519 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480334106",
            "country_code": "US",
            "telephone_number": "248-886-4884",
            "fax_number": "248-905-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESTYLE COACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "CHARITA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-688-5806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@lifestylescoaches.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22519 Telegraph Rd",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480334106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LSC Aerobic Fitness Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LSC FITNESS STUDIO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NUHB Wellness Center Boutique",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Life Water Support Services LLC
• Life-Time Care & Rehabilitation Services, Inc.
• Life'S Journeys LLC
• Life'S Journeys LLC
• Lifeline Home Support LLC
• Lifetest Michigan LLC
• Lifting As I Climb, LLC
• Soraia Lynee Liggens, FNP
• Leah Gluklick Light, LMSW
• Andrea Celeste Lightbourn, MD

• Athletic Trainer in Southfield, MI
• Providers in Southfield, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.