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LUWILLIS GIBSON PSYCHOLOGY NPI 1609347285


NPI Information

NPI: 1609347285
Provider Name: LUWILLIS GIBSON, PSYCHOLOGY
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Individual
Address:
1014 DUNHAM ST SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (231) 343-2753
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Luwillis Gibson, PSYCHOLOGY is a community behavioral health in Grand Rapids, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. Luwillis Gibson, PSYCHOLOGY NPI is 1609347285. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1014 DUNHAM ST SE
GRAND RAPIDS, MI
ZIP 49506-659
Phone: (231) 343-2753

The enumeration date for this NPI number is 12/7/2018 and was last updated on 12/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC1900XPsychologistCounselingNo
2171M00000XCase Manager/Care CoordinatorNo
3171W00000XContractorNo
4175T00000XPeer SpecialistNo
5225C00000XRehabilitation CounselorNo
6251B00000XCase ManagementNo
7251X00000XSupports BrokerageNo
8261QA0600XClinic/CenterAdult Day CareNo
9261QM1300XClinic/CenterMulti-SpecialtyNo
10324500000XSubstance Abuse Rehabilitation FacilityNo
11251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.