Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Impact Life Solutions, LLC

Organization Mental Health Counselor · NPI 1417739624

Impact Life Solutions, LLC is a Mental Health Counselor in Detroit, Michigan. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4204 Buckingham Ave
Detroit, MI 48224-3539
Phone: (248) 571-4806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X
Social Worker Taxonomy 104100000X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1417739624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelley Mays — Owner / Therapist · (248) 571-4806
NPI enumeratedOctober 23, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address4204 Buckingham Ave, Detroit, MI 48224-3539

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