AMPLIFIED LIFE NETWORK LLC NPI 1558713388

NPI Information

NPI: 1558713388
Provider Name: AMPLIFIED LIFE NETWORK, LLC

Doing Business As: AMPLIFIED LIFE

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
7791 BYRON CENTER AVE SW
BYRON CENTER, MI
ZIP 49315
Phone: (616) 724-6943
Get Directions

AMPLIFIED LIFE NETWORK, LLC is a professional counselor in Byron Center, MI. AMPLIFIED LIFE NETWORK, LLC NPI is 1558713388. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Amplified Life.

The provider's business location address is:

7791 BYRON CENTER AVE SW
BYRON CENTER, MI
ZIP 49315-412
Phone: (616) 724-6943
Fax: (616) 499-2077

The provider's authorized official is Lyle Labardee .
The authorized official title is President and has the following contact phone number (616) 724-6943.

The enumeration date for this NPI number is 7/5/2016 and was last updated on 9/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225X00000X	Occupational Therapist				No
2	101YP2500X	Counselor	Professional	6401003943	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043537574	OTHER	MICHIGAN	GENERAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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