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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 Specialty Code Provider Type

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
LBN Legal business name REAL LIFE COUNSELING OF NORTHERN MICHIGAN
Authorized official JAKE TRACY - (COUNSELOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2024
Last updated 11/24/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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