Provider Demographics
NPI:1902327067
Name:LIFE'S LIGHT AND HOPE
Entity Type:Organization
Organization Name:LIFE'S LIGHT AND HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:734-265-0554
Mailing Address - Street 1:35470 OAKDALE ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-2236
Mailing Address - Country:US
Mailing Address - Phone:734-265-0554
Mailing Address - Fax:
Practice Address - Street 1:35470 OAKDALE ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-2236
Practice Address - Country:US
Practice Address - Phone:734-265-0554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty