LIFE RESOURCE CENTER (NPI# 1649393646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649393646 |
Entity Type | Organization |
Organization Name | LIFE RESOURCE CENTER |
Other Organization Name | LIFE RESOURCE CENTER |
Practice Address |
3533 Fort Knox Dr Lapeer MI 48446-2953 |
Mailing Address |
Po Box 445 Lapeer MI 48446-0445 |
Practice Telephone | 8102453885 |
Practice Fax Number | 8106676459 |
Mailing Telephone | 8102453885 |
Mailing Fax Number | 8106676459 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2008-05-15 |
Authorized Official Name | MRS. LORRAINE DALE SIMS (OWNER) |
Authorized Official Telephone | 8102453885 |
Authorized Official Credential | MA, LLP, LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 040341 | MI | Agencies |
Other Name | Type Code |
---|---|
Life Resource Center | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LIFE RESOURCE CENTER | 2155 Bailey Hill Rd, Eugene, OR 97405-1159 |
Street Address |
3533 FORT KNOX DR |
City | LAPEER |
State | MI |
Zip Code | 48446-2953 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861818577 | Andrea Rawat | Counselor | 3533 Fort Knox Dr, Lapeer, MI 48446-2953 | 2014-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
Find all providers in zip 48446 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194200501 | Res-care Premier, Inc. | Community/Behavioral Health | 1670 Woodbine Dr, Lapeer, MI 48446-8712 | 2018-10-02 |
1770018293 | Res-care Premier, Inc. | Community/Behavioral Health | 3097 Davis Lake Rd, Lapeer, MI 48446-7717 | 2017-04-21 |
1386906006 | Res-care Premier, Inc/ | Community/Behavioral Health | 3082 Reamer Rd, Lapeer, MI 48446-7711 | 2012-06-08 |
1376804849 | Res-care Premier, Inc. | Community/Behavioral Health | 5183 Genesee Rd, Lapeer, MI 48446-3609 | 2012-05-31 |
1275585929 | County of Lapeer | Community/Behavioral Health | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2006-05-17 |
1851891915 | Chelsie Willsey | Community/Behavioral Health | 110 N Saginaw St, Lapeer, MI 48446-4600 | 2018-02-15 |
1982958443 | Lapeer County Community Mental Health | Community/Behavioral Health | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2012-11-06 |
1619274636 | Daniel J. Kachman, Ed. D., P.C. | Community/Behavioral Health | 700 S Main St, Suite 208, Lapeer, MI 48446-3077 | 2011-02-28 |
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1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.