Provider Demographics
NPI:1932989613
Name:GOOD LIFE COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:GOOD LIFE COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:GARROW
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:231-233-5663
Mailing Address - Street 1:806 N EMILY ST
Mailing Address - Street 2:
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-2739
Mailing Address - Country:US
Mailing Address - Phone:231-233-5663
Mailing Address - Fax:
Practice Address - Street 1:806 N EMILY ST
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-2739
Practice Address - Country:US
Practice Address - Phone:231-233-5663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty