Organization Active NPI

Complete Life Services PLC

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1710538905
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMPLETE LIFE SERVICES PLC
Practice address
G3500 Flushing Rd Ste 244
Flint, MI 48504-4257
Phone
(813) 943-5323
NPI assigned
Sep 27, 2019
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Mr. Seon F Thompson, LMSW, BCD
Title
Licensed Clinical Social Worker
Phone
(813) 943-5323

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

G3500 Flushing Rd Ste 244
Flint, MI 48504-4257

Mailing address

11835 Shell Bark LN
Grand Blanc, MI 48439-3305
Phone (813) 943-5323

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1710538905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 SHELL BARK LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484393305",
            "telephone_number": "813-943-5323",
            "fax_number": "810-733-7317"
        },
        {
            "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 PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SEON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "813-943-5323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW, BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 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.