Active NPI
Complete Life Services LC
- Clinical Social Worker
- Flint, MI
National Provider Identifier
1306546940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- COMPLETE LIFE SERVICES LC
- Practice address
- G3500 Flushing Rd Ste 244
Flint, MI 48504-4257 - Phone
- (813) 943-5323
- NPI assigned
- Mar 2, 2023
- Organization subpart
- Yes
- Parent organization
- COMPLETE LIFE SERVICES PLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Seon F Thompson, LICSW, BCD
- Title
- Clinical Director
- Phone
- (813) 943-5323
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
G3500 Flushing Rd Ste 244
Flint, MI 48504-4257
Mailing address
511 Hickory Hall LN
Goose Creek, SC 29445-6348
Phone (813) 943-5323
Other names 1
- COMPLETE LIFE SERVICES
National Provider Directory
National Provider Directory- Part of
- Complete Life Services PLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Social Worker
- Flint, MI
- NPI 1710538905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1306546940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 HICKORY HALL LN",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294456348",
"telephone_number": "813-943-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3500 FLUSHING RD STE 244",
"city": "FLINT",
"state": "MI",
"postal_code": "485044257",
"telephone_number": "813-943-5323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE LIFE SERVICES LC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMPLETE LIFE SERVICES PLC",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "SEON",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "813-943-5323",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LICSW, BCD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COMPLETE LIFE SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.