Organization
LIFESPAN CLINICAL SERIVCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA F HOWARD LMSW (DIRECTOR)
(248) 615-9730
Entity
Organization
Contact information
Practice address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
(248) 615-1260
Mailing address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
(248) 615-1260
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3197901
—
MI
Enumeration date
02/01/2007
Last updated
08/22/2020
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