Provider Demographics
NPI:1134826456
Name:LYFE SERVICES LLC
Entity type:Organization
Organization Name:LYFE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:989-859-1761
Mailing Address - Street 1:6106 WILLOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-5492
Mailing Address - Country:US
Mailing Address - Phone:989-859-1761
Mailing Address - Fax:
Practice Address - Street 1:6106 WILLOWBROOK DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-5492
Practice Address - Country:US
Practice Address - Phone:989-859-1761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty