Healthcare Provider Details

I. General information

NPI: 1497484141
Provider Name (Legal Business Name): CLAUDIA HILAIRE GAJEWSKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAUDIA GAJEWSKI LPC

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30150 TELEGRAPH RD STE 245
BINGHAM FARMS MI
48025-4521
US

IV. Provider business mailing address

37625 PEMBROKE AVE
LIVONIA MI
48152-1050
US

V. Phone/Fax

Practice location:
  • Phone: 800-690-1916
  • Fax: 248-605-3525
Mailing address:
  • Phone: 734-469-0513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401224497
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: