Organization Active NPI

Healing Place Life Coach and Counseling Center

  • Counseling Psychologist
  • Waterford, MI
National Provider Identifier
1265219810
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
HEALING PLACE LIFE COACH AND COUNSELING CENTER
Practice address
7277 Arbor TRL Apt 107
Waterford, MI 48327-4515
Phone
(248) 896-4547
NPI assigned
Sep 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Carla JenkinsNPI 1043582893
Title
Owner / LPC
Phone
(248) 896-4547

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

7277 Arbor TRL Apt 107
Waterford, MI 48327-4515

Mailing address

7277 Arbor TRL Apt 107
Waterford, MI 48327-4515
Phone (248) 896-4547

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1265219810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 ARBOR TRL APT 107",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274515",
            "telephone_number": "248-896-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 ARBOR TRL APT 107",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274515",
            "telephone_number": "248-896-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PLACE LIFE COACH AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER / LPC",
        "authorized_official_telephone_number": "248-896-4547"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.