Healthcare Provider Details

I. General information

NPI: 1720463003
Provider Name (Legal Business Name): JOELLE ALIBRI ADDICTIONS COUNSELOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 08/03/2024
Certification Date: 08/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34224 VAN DYKE AVE
STERLING HEIGHTS MI
48312-4647
US

IV. Provider business mailing address

36599 ORCHARD LAKE DR
NEW BALTIMORE MI
48047-5550
US

V. Phone/Fax

Practice location:
  • Phone: 586-281-0150
  • Fax:
Mailing address:
  • Phone: 313-550-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801097432
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: