Healthcare Provider Details

I. General information

NPI: 1760824817
Provider Name (Legal Business Name): KIMBERLY RENEE GUMBRECHT MA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38855 HILLS TECH DR SUITE 200
FARMINGTON HILLS MI
48331-3421
US

IV. Provider business mailing address

24230 KARIM BLVD STE 100
NOVI MI
48375-2960
US

V. Phone/Fax

Practice location:
  • Phone: 248-871-1463
  • Fax:
Mailing address:
  • Phone: 248-871-1463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401012561
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: