Gottlieb-Porlick, Deborah Helene
Gottlieb-Porlick, Deborah Helene is an sole proprietor health care provider with primary practice located at 766 W Grand River Ave , Brighton MI 48116-2392. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gottlieb-Porlick, Deborah Helene can be contacted via phone (810) 229-1630.Contact Information
Primary practice address
766 W Grand River Ave
Brighton MI 48116-2392
Phone: (810) 229-1630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801066201 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1900 | Florida |
Profile Details
| NPI number | 1922148873 |
|---|---|
| LBN Legal business name | Gottlieb-Porlick, Deborah Helene |
| Credentials | LMSW, CAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922148873 | NPPES |
| Michigan | Other | 8008978790 | BCBSM PIN NO. |
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