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GAYLE WALLS-BROWN PLLC NPI 1861692824


NPI Information

NPI: 1861692824
Provider Name: GAYLE WALLS-BROWN PLLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
20700 CIVIC CENTER DR
170
SOUTHFIELD, MI
ZIP 48076
Phone: (313) 610-5711
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GAYLE WALLS-BROWN PLLC is a community behavioral health in Southfield, 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. GAYLE WALLS-BROWN PLLC NPI is 1861692824. The provider is registered as an organization entity type.

The provider's business location address is:

20700 CIVIC CENTER DR
170
SOUTHFIELD, MI
ZIP 48076-140
Phone: (313) 610-5711

The provider's authorized official is Gayle Elaine Walls-brown .
The authorized official title is Clinical Therapist and has the following contact phone number (313) 610-5711.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 7/18/2007.


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
1251S00000XCommunity/Behavioral Health6801080183MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OP36670MEDICARE PINMICHIGAN
21588772560OTHERMICHIGANINDIVIDUAL NPI

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

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