Provider Demographics
NPI:1073166468
Name:ESSENCE OF LIFE, COUNSELING
Entity Type:Organization
Organization Name:ESSENCE OF LIFE, COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PACITTI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:586-604-5361
Mailing Address - Street 1:42690 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48304-5062
Mailing Address - Country:US
Mailing Address - Phone:586-604-5361
Mailing Address - Fax:
Practice Address - Street 1:42690 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-5062
Practice Address - Country:US
Practice Address - Phone:586-604-5361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)