Healthcare Provider Details

I. General information

NPI: 1629998935
Provider Name (Legal Business Name): GABRIELLE DOLIN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39000 7 MILE RD STE 3600
LIVONIA MI
48152-1006
US

IV. Provider business mailing address

6111 N GLOBE ST
WESTLAND MI
48185-8116
US

V. Phone/Fax

Practice location:
  • Phone: 242-486-4514
  • Fax:
Mailing address:
  • Phone: 517-375-6928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451025191
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: