Life Without Flaws

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LIFE WITHOUT FLAWS

Practice address

2180 44TH St SE Ste 301
Grand Rapids, MI 49508-5093

Phone

(616) 259-5112

Fax

(616) 259-5112

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Lorraine Bennett, MASTER'S DEGREENPI 1023660891

Title

Psychologist, Prof. Counselor

Phone

(616) 259-5112

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorraine Bennett, TLLP, LPC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1023660891
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1831819143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 ARDMORE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073258",
            "telephone_number": "616-780-7664",
            "fax_number": "616-971-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 44TH ST SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085093",
            "telephone_number": "616-259-5112",
            "fax_number": "616-259-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WITHOUT FLAWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, PROF. COUNSELOR",
        "authorized_official_telephone_number": "616-259-5112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTER'S DEGREE"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.