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General NPI Number Information
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NPI Number | 1861919078
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Entity Type | Organization
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Legal Business Name | G. COLOMBINI COUNSELING, PLLC
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 630 N OLD WOODWARD AVE STE 303
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City | BIRMINGHAM
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State | MI
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Zip | 48009-3862
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Country | US
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Telephone | 248-259-6290
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Fax | 248-282-7013
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Provider Business Mailing Address
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Address Line | 630 N OLD WOODWARD AVE STE 303
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City | BIRMINGHAM
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State | MI
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Zip | 48009-3862
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Country | US
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Telephone | 248-259-6290
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Fax | 248-282-7013
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Authorized Official
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Title or Position | OWNER
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Name | GIGI COLOMBINI
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Credential | LMSW
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Telephone | 248-259-6290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801084080
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License Number State | MI
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