Life Star of Michigan LLC
Life Star of Michigan LLC provides Clinical Social Worker services in Plymouth, Michigan. Licensed in Michigan. Registered with an NPI since 2009.
- Licensed in
- MI
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
40400 Ann Arbor Rd E Ste 104APlymouth, MI 48170-6611 Not confirmed with CMS for 16 years — call before visiting
Phone: (734) 416-5000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6801084742 (MI) |
|---|
Record details
| NPI number | 1346577947 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathie Schofield — Clinical Director · (734) 416-5000 |
| NPI enumerated | November 3, 2009 |
| Last updated in NPPES | November 3, 2009 |
| Mailing address | 40400 Ann Arbor Rd E Ste 104a, Plymouth, MI 48170-6611 |
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Nicole Macon-McKendree, LMSW
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Kimberly Rae Mahaffa, LMSW, CAADC
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