Provider Demographics
NPI:1174043137
Name:BEST LIFE COUNSELING SERVICE, LLC
Entity Type:Organization
Organization Name:BEST LIFE COUNSELING SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MAC
Authorized Official - Phone:248-965-2747
Mailing Address - Street 1:25900 GREENFIELD RD STE 411
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1287
Mailing Address - Country:US
Mailing Address - Phone:248-965-2747
Mailing Address - Fax:248-965-2749
Practice Address - Street 1:25900 GREENFIELD RD STE 411
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1287
Practice Address - Country:US
Practice Address - Phone:248-965-2747
Practice Address - Fax:248-965-2749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014645101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty