Organization
LIFE TRANSITIONS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JUDD NP (OWNER)
(586) 663-8906
Entity
Organization
Contact information
Practice address
21031 SUNNYDALE ST, SAINT CLAIR SHORES, MI 48081-3143
(586) 663-8906
Mailing address
21031 SUNNYDALE ST, SAINT CLAIR SHORES, MI 48081-3143
(586) 663-8906
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704199416
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704199416
STATE LICENSE
MI
Enumeration date
08/13/2012
Last updated
03/05/2015
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