Life Water Support Services Llc

LBN: Life Water Support Services Llc
Life Water Support Services Llc is an health care organization with primary practice located at 23999 W 10 Mile Rd # 220 , Southfield MI 48033-3158. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Case Management, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Life Water Support Services Llc can be contacted via phone (248) 327-6593, or through Bishopjohnson, Kim Latease via phone (734) 444-8512.

Contact Information

Primary practice address
23999 W 10 Mile Rd # 220 Southfield MI 48033-3158
Phone: (248) 327-6593
Fax: (248) 996-8903
Website:
Map and Directions
Authorized official contact:
Name: Bishopjohnson, Kim Latease MA, LPC
Phone: (734) 444-8512

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X 6401009531 Michigan

Profile Details

NPI number 1598134983
LBN Legal business name Life Water Support Services Llc
DBA Doing business as
Authorized official Bishopjohnson, Kim Latease MA, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2015
Last updated Jan 12th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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