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Organization

LIFE CENTERS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN ELAINE MCCOY (DIRECTOR)
(248) 579-2188
Entity
Organization

Contact information

Practice address
16000 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4808
(248) 579-2188
(248) 715-5903
Mailing address
25595 MULROY DR, SOUTHFIELD, MI 48033-2510
(602) 791-1684

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
Primary
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
07/16/2018
Last updated
07/16/2018
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