Organization Active NPI

Life Practice LLC

  • Community/Behavioral Health Agency
  • Westland, MI
National Provider Identifier
1669725875
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401006504 Issued in MI
Legal business name
LIFE PRACTICE LLC
Practice address
2006 S Wayne Rd
Westland, MI 48186-5428
Phone
(313) 799-0093
Fax
(734) 467-3965
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Ms. Betty Ann Rickman, LMSW,LPC
Title
Therapist
Phone
(313) 799-0093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801035053 MI
Community/Behavioral Health Agency 251S00000X 6401006504 MI Primary

Addresses

Primary practice location

2006 S Wayne Rd
Westland, MI 48186-5428

Mailing address

2006 S Wayne Rd
Westland, MI 48186-5428
Phone (313) 799-0093

National Provider Directory

National Provider Directory

Locations

2006 S Wayne Rd
Westland, MI 48186
Phone (313) 799-0093

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1669725875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865428",
            "telephone_number": "313-799-0093",
            "fax_number": "734-467-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865428",
            "telephone_number": "313-799-0093",
            "fax_number": "734-467-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "RICKMAN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "313-799-0093",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW,LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801035053",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401006504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.