Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Living4Life Wellnessllc

Organization Metabolic Nutrition Registered Dietitian · NPI 1750771200

Living4Life Wellnessllc is a Metabolic Nutrition Registered Dietitian in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
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Practice location Address checks out

11085 McKinney St
Detroit, MI 48224-1112
Phone: (313) 618-7454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Metabolic Nutrition Registered Dietitian (primary) Taxonomy 133VN1006X · Licence 812531 (MI)

Record details

NPI number1750771200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doniss Hicks — President/Wellness Specialist · (313) 618-7454
NPI enumeratedFebruary 4, 2015
Last updated in NPPESFebruary 4, 2015
Mailing addressPo Box 241603, Detroit, MI 48224-5603

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