LIFE ENHANCEMENT CENTER, PLLC (NPI# 1992086615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992086615 |
| Entity Type | Organization |
| Organization Name | LIFE ENHANCEMENT CENTER, PLLC |
| Other Organization Name | BODYLOGICMD OF DETROIT |
| Practice Address |
28175 Haggerty Rd Suite 144 Novi MI 48377-2903 |
| Mailing Address |
2026 Applewood Dr Troy MI 48085-7032 |
| Practice Telephone | 8778247067 |
| Mailing Telephone | 8778247067 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | DR. NINA REHMAN (PRESIDENT) |
| Authorized Official Telephone | 8778247067 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5101013168 | MI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| BodyLogicMD of Detroit | Doing Business As Name - Organization |
| Street Address |
28175 HAGGERTY RD SUITE 144 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020985 | James N Cass Jr. | Social Worker | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2005-08-18 |
| 1356969810 | Sally Barbat Pllc | Psychologist | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2020-07-10 |
| 1588299218 | Chloe Lemcool | Behavior Technician | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2020-03-03 |
| 1760022933 | Piper Straley | Behavior Technician | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2020-01-15 |
| 1952948689 | Carol Jamieson | Behavior Technician | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2019-12-02 |
| 1871139436 | Kyra Feighner | Behavior Technician | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2019-11-19 |
| 1649813734 | Christa Bailey | Behavior Technician | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2019-10-22 |
| 1609423458 | Jenna Clink | Behavior Technician | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2019-08-26 |
| 1760035265 | Chelsea Brewbaker | Behavior Technician | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2019-07-23 |
| 1588217087 | Cheyenne Doan | Behavior Technician | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2019-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619307097 | Janet Wisniewski | Specialist | 25500 Meadowbrook Rd Ste 240&250, Novi, MI 48375 | 2013-11-20 |
| 1194042176 | Novi Health Center P C | Specialist | 39575 W 10 Mile Rd Ste 205, Novi, MI 48375-2949 | 2010-04-29 |
| 1447380217 | Jean Jaffke, M.d., P.C. | Specialist | 46325 W 12 Mile, Suite 325, Novi, MI 48377 | 2007-03-07 |
| 1396893061 | Michael A Roth | Specialist | 42450 W 12 Mile Rd Ste 205, Novi, MI 48377-3030 | 2007-01-08 |
| 1639270432 | Lisa Ann Barron | Specialist | 44000 W 12 Mile Rd Ste 103, Novi, MI 48377-2646 | 2006-09-26 |
| 1831190917 | Michael A Roth Md PC | Specialist | 42450 W 12 Mile Rd, Novi, MI 48377-3013 | 2005-08-10 |
| 1326595802 | Christian Weder | Specialist | 24360 Novi Rd, Suite A, Novi, MI 48375-2462 | 2016-09-01 |
| 1285073551 | Lisa Turner | Specialist | 41521 W 11 Mile Rd, Novi, MI 48375 | 2013-06-20 |
| 1487923736 | Healthstar Enterprises LLC | Specialist | 44150 W 12 Mile Rd, Ste 200, Novi, MI 48377-2649 | 2011-12-15 |
| 1154627982 | Crystal Diagnostic Services | Specialist | 39555 Orchard Hill Pl, Suite 600, Novi, MI 48375-5374 | 2011-01-26 |
| Find all providers in NOVI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.