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Contact Information

LIFELENS PSYCHOLOGICAL AND COUNSELING SERVICES
4000 W WALTON BLVD
SUITE B
WATERFORD TOWNSHIP, MI48329-4191
 Phone: 248-881-6698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LIFELENS PSYCHOLOGICAL AND COUNSELING SERVICES

NPI # 1083015499
LBN Legal business name LIFELENS PSYCHOLOGICAL AND COUNSELING SERVICES
Authorized official DANIEL WALL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2014
Last updated 08/19/2025 - About 10 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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