Healthcare Provider Details

I. General information

NPI: 1083165245
Provider Name (Legal Business Name): GAIL ATKINS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GAIL BREGE LPC

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N 1ST AVE
ALPENA MI
49707-2867
US

IV. Provider business mailing address

115 N 1ST AVE
ALPENA MI
49707-2867
US

V. Phone/Fax

Practice location:
  • Phone: 989-439-8558
  • Fax: 616-226-4603
Mailing address:
  • Phone: 989-439-8558
  • Fax: 616-226-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012560
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1-04503
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: