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Organization

GOOD LYFE CONSULTING LLC

Active
Parent organization
SIDNEY BOHANEN
Other names
Sidney Bohanen
Organization subpart
Yes

Provider details

NPI number
Legal business name
SIDNEY BOHANEN
Authorized official
MR. SIDNEY R BOHANEN MA. LLPC. CTP (CEO)
(248) 242-2055
Entity
Organization

Contact information

Practice address
29600 PICKFORD ST, LIVONIA, MI 48152-3464
(248) 242-2055
Mailing address
29600 PICKFORD ST, LIVONIA, MI 48152-3464
(248) 242-2055

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/22/2023
Last updated
11/22/2023
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