Organization
LIFE WITHOUT FLAWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE BENNETT MASTER'S DEGREE (PSYCHOLOGIST, PROF. COUNSELOR)
(616) 259-5112
Entity
Organization
Contact information
Practice address
2180 44TH ST SE STE 301, GRAND RAPIDS, MI 49508-5093
(616) 259-5112
(616) 259-5112
Mailing address
719 ARDMORE ST SE, GRAND RAPIDS, MI 49507-3258
(616) 780-7664
(616) 971-6157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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