Circle of Life Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CIRCLE OF LIFE COUNSELING LLC

Practice address

G-6201 Miller Rd
Suite B
Swartz Creek, MI 48473-1598

Phone

(810) 962-3556

Fax

(810) 963-8953

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Tyra M Petoskey, LMSW, CAADC

Title

Owner

Phone

(810) 962-3556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1275150070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 BELFAST STREET",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485291825",
            "telephone_number": "810-962-3556",
            "fax_number": "810-963-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G-6201 MILLER RD",
            "address_2": "SUITE B",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731598",
            "telephone_number": "810-962-3556",
            "fax_number": "810-963-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "PETOSKEY",
        "authorized_official_first_name": "TYRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-962-3556",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Y Wyse DO PLC
• Center for Children and Families
• Rebecca Linn Cervantes, LMSW
• Jennifer Chesser, PHARMD
• Randall Mark Christensen, MS
• Sophia Marie Considine
• Crystal Leanne Cooper
• John Cosgrove, PA-C
• Melinda M Cox
• Joda Colleen Dailey, LPC, RN

• Clinical Social Worker in Swartz Creek, MI
• Providers in Swartz Creek, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.