MS. GWENDOLYN PETTWAY LLPC NPI 1932492485

NPI Information

NPI: 1932492485
Provider Name: MS. GWENDOLYN PETTWAY, LLPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
559 W GRAND BLVD
DETROIT, MI
ZIP 48216
Phone: (313) 554-1095
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MS. Gwendolyn Pettway, LLPC is a mental health counselor in Detroit, MI. MS. Gwendolyn Pettway, LLPC NPI is 1932492485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

559 W GRAND BLVD
DETROIT, MI
ZIP 48216-200
Phone: (313) 554-1095
Fax: (313) 733-0341

The enumeration date for this NPI number is 5/17/2011 and was last updated on 5/17/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	64010062571	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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