Organization
AMPLIFIED LIFE NETWORK, LLC
Active
Other names
Amplified Life
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE LABARDEE LPC (PRESIDENT)
(616) 724-6943
Entity
Organization
Contact information
Practice address
7791 BYRON CENTER AVE SW, BYRON CENTER, MI 49315-8412
(616) 724-6943
(616) 499-2077
Mailing address
7791 BYRON CENTER AVE SW, BYRON CENTER, MI 49315-8412
(616) 724-6943
(616) 499-2077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401003943
MI
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043537574
GENERAL
MI
Enumeration date
07/05/2016
Last updated
09/22/2020
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