| Gibson Wellness Group, Llc | |
|
801 W Big Beaver Rd Ste 208 Troy MI 48084-4726 | |
| (586) 651-0090 | |
| Not Available |
| Full Name | Gibson Wellness Group, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 801 W Big Beaver Rd Ste 208, Troy, Michigan |
| Authorized Official Name and Position | Lori Frances Grant (MANAGER) |
| Authorized Official Contact | 5866510090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Wellness Group, Llc 1935 Quarton Rd Bloomfield MI 48301-2319 Ph: (586) 651-0090 | Gibson Wellness Group, Llc 801 W Big Beaver Rd Ste 208 Troy MI 48084-4726 Ph: (586) 651-0090 |
| NPI Number | 1891573770 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891573770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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