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Contact Information

LIFE JOURNEY PLLC
2013 EAST CASTLE DRIVE SW
SUITE B
GRAND RAPIDS, MI49508
 Phone: 616-888-1120
 Fax: 616-469-1113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFE JOURNEY PLLC

NPI # 1538531017
LBN Legal business name LIFE JOURNEY PLLC
Authorized official URMINDA FIRLAN - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2015
Last updated 01/24/2020 - About 6 years ago
Identifiers
MI License # 6301016514
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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