Gibson, Luwillis

Gibson, Luwillis is an sole proprietor health care provider with primary practice located at 1014 Dunham St Se , Grand Rapids MI 49506-2659. He recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Other Service Providers / Peer Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Agencies / Case Management, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Multi-Specialty, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is his primary health care specialty. Gibson, Luwillis can be contacted via phone (231) 343-2753.

Contact Information

Primary practice address
1014 Dunham St Se Grand Rapids MI 49506-2659
Phone: (231) 343-2753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Contractor 171W00000X
Other Service Providers / Peer Specialist 175T00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Agencies / Case Management 251B00000X
Agencies / Supports Brokerage 251X00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1609347285
LBN Legal business name Gibson, Luwillis
Credentials PSYCHOLOGY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2018
Last updated Dec 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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