Luwillis Gibson, PSYCHOLOGY is a
Community/behavioral Health based in Grand Rapids, Michigan. Luwillis Gibson is licensed to practice in * (Not Available) (license number ) and his current practice location is
1014 Dunham St Se, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 343-2753.
NPI number for Luwillis Gibson is 1609347285 and his current mailing address is 349 Jackson Ave, Muskegon, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609347285.
Healthcare Provider's Profile
| Full Name | Luwillis Gibson |
|---|
| Gender | Male |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 1014 Dunham St Se, Grand Rapids, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609347285
- Provider Enumeration Date: 12/07/2018
- Last Update Date: 12/07/2018
Medical Identifiers
Medical identifiers for Luwillis Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609347285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 251X00000X | Supports Brokerage | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luwillis Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Luwillis Gibson, PSYCHOLOGY
349 Jackson Ave,
Muskegon, MI 49442-1114
Ph: (231) 343-2753 | Luwillis Gibson, PSYCHOLOGY
1014 Dunham St Se,
Grand Rapids, MI 49506-2659
Ph: (231) 343-2753 |
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