National Provider Identifier Database

REAL LIFE COUNSELING OF NORTHERN MICHIGAN
Professional


Contact Information

REAL LIFE COUNSELING OF NORTHERN MICHIGAN
1982 E. MITCHELL RD.
PETOSKEY, MI49770
Phone: 231-622-5800
Fax: 231-272-5721
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X
Counselor 101Y00000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for REAL LIFE COUNSELING OF NORTHERN MICHIGAN

NPI Number 1396585840
Legal business name
LBN
REAL LIFE COUNSELING OF NORTHERN MICHIGAN
Authorized official JAKE TRACY - (COUNSELOR)
Entity Organization
Organization subpart No
Enumeration date 05/30/2024
Last updated 11/24/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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