Organization
LIFESPAN BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN R PERSOON (PRINCIPAL)
(231) 233-6576
Entity
Organization
Contact information
Practice address
1686 N LAKESHORE DR, LUDINGTON, MI 49431-9403
(231) 233-6576
(231) 845-7095
Mailing address
1686 N LAKESHORE DR, LUDINGTON, MI 49431-9403
(231) 233-6576
(231) 845-7095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
640-101-3191
MI
103K00000X
Behavior Analyst
Primary
1-16-22081
MI
103TB0200X
Cognitive & Behavioral Psychologist
630-101-5191
MI
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us