MEDICARE: TRUBLU THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1841880192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUBLU THERAPY, PLLC

Provider Business Mailing Address
First Line	:	531 BRENTWOOD RD SUITE 153
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-0269
Country	:	US
Telephone Number	:	704-310-1480
Fax Number	:	704-966-0135

Provider Business Practice Location Address
First Line	:	8040 ORTONVILLE RD STE C
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-4468
Country	:	US
Telephone Number	:	980-319-8722
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELLE UGOLINI
Credential	:	LCSW
Telephone Number	:	714-310-1480

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	08/05/2021

Similar Medicare Providers

1821050576 — MRS. HOLLY MARIE WORKMAN MA LPC NCC
Practice Location Address:

8040 ORTONVILLE RD STE B
CLARKSTON, MI
48348-4468

Practice Phone: 248-760-5530
Practice Fax:

1255595112 — MICHELLE DUTCHER MA, LPC, NCC
Practice Location Address:

8040 ORTONVILLE RD STE A
CLARKSTON, MI
48348-4468

Practice Phone: 248-444-3374
Practice Fax: 248-856-2697

1295375582 — ACTION WORKS COUNSELING PLLC
Practice Location Address:

8040 ORTONVILLE RD
CLARKSTON, MI
48348-4468

Practice Phone: 248-760-5530
Practice Fax:

1912516048 — MICHELLE DUTCHER MA, LPC, PLLC
Practice Location Address:

8040 ORTONVILLE RD STE A
CLARKSTON, MI
48348-4468

Practice Phone: 248-444-3374
Practice Fax:

1831797232 — ALLISON DOUGHERTY, MA, LPC, PLLC
Practice Location Address:

8040 ORTONVILLE RD STE A
CLARKSTON, MI
48348-4468

Practice Phone: 248-303-3033
Practice Fax:

1144985011 — MRS. CYNTHIA SOLORIO TELLO MSW
Practice Location Address:

8040 ORTONVILLE RD
CLARKSTON, MI
48348-4468

Practice Phone: 248-989-5432
Practice Fax:

Directions to “TRUBLU THERAPY, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.