Provider Demographics
NPI:1023989902
Name:LIFES PACE COUNSELING LLC
Entity type:Organization
Organization Name:LIFES PACE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-288-1556
Mailing Address - Street 1:2215 OAK INDUSTRIAL DR NE STE 209
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-6037
Mailing Address - Country:US
Mailing Address - Phone:616-288-1556
Mailing Address - Fax:616-288-1556
Practice Address - Street 1:2215 OAK INDUSTRIAL DR NE STE 209
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-6037
Practice Address - Country:US
Practice Address - Phone:616-288-1556
Practice Address - Fax:616-288-1556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty