| Organization Name: | LIFE SKILLS PSYCHOLOGICAL SERVICES |
| NPI Number: | 1104983923 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES A. BENTHEM (PRESIDENT) |
| Mailing Address: | 805 S Carmel St Cadillac |
| State: | MI US |
| Postal Code: | 496012344 |
| Phone Number: | 2317756517 |
| Fax Number: | 2317756587 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | SW002628 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |