Organization
LIFELENS PSYCHOLOGICAL AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WALL PHD, LP (OWNER)
(248) 881-6698
Entity
Organization
Contact information
Practice address
4000 W WALTON BLVD, SUITE B, WATERFORD, MI 48329-4191
(248) 881-6698
Mailing address
4000 W WALTON BLVD STE B, WATERFORD, MI 48329-4191
(248) 881-6698
(248) 791-7905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/05/2014
Last updated
08/19/2025
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