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

Life Change Therapy LLC

Organization Counselor · NPI 1275338857

Life Change Therapy LLC is a Counselor in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025
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

4612 Plainfield Ave NE
Grand Rapids, MI 49525-1229
Phone: (906) 319-8725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1275338857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brigid Havens — Counselor · (906) 319-8725
NPI enumeratedFebruary 17, 2025
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address2222 W Grand River Ave Ste A, Okemos, MI 48864-1604

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