Organization Active NPI

Life'S Box of Chocolates Psychological Services, LLC

  • Clinical Psychologist
  • Detroit, MI
National Provider Identifier
1508549247
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LIFE'S BOX OF CHOCOLATES PSYCHOLOGICAL SERVICES, LLC
Practice address
14841 Warwick St
Detroit, MI 48223-2248
Phone
(313) 806-4748
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Ms. Rose Cook, MA, LLPNPI 1487138038
Title
Owner/Manager
Phone
(313) 806-4748

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

14841 Warwick St
Detroit, MI 48223-2248

Mailing address

18701 Grand River Ave # 108
Detroit, MI 48223-2214

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": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1508549247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 GRAND RIVER AVE # 108",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 WARWICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232248",
            "telephone_number": "313-806-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S BOX OF CHOCOLATES PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "313-806-4748",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.