Lifestyle Coaches LLC
NPI 1235640152ActiveOrganization· Specialist/Technologist, Athletic Trainer· Southfield, MI
Specialist/Technologist, Athletic Trainer in Southfield, Michigan, registered in NPPES in October 2017. The authorized official on file is Charita Herron, Chief Executive Officer.
Overview
| NPI | 1235640152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2017 |
| Last updated in NPPES | May 18, 2022 |
| Certified by provider | May 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | — | — |
| Physical Therapist | 225100000X | — | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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