Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LIFE GUIDANCE SERVICES
Active
Organization
LIFE GUIDANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN L FOGEL MA,LLP (EXECUTIVE DIRECTOR)
(616) 954-1992
Entity
Organization
Contact information
Practice address
1400 LEONARD ST NE, GRAND RAPIDS, MI 49505-5515
(616) 954-1992
(616) 954-1998
Mailing address
330 EASTERN NE, GRAND RAPIDS, MI 49503
(616) 776-0891
(616) 233-0718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
06/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up