Goulbourne, Elise Ashley

Goulbourne, Elise Ashley is an individual health care provider with primary practice located at 2995 E Grand Blvd , Detroit MI 48202-3133. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Goulbourne, Elise Ashley can be contacted via phone (313) 758-0150.

Contact Information

Primary practice address
2995 E Grand Blvd Detroit MI 48202-3133
Phone: (313) 758-0150
Fax: (313) 758-0255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301015813 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6451022680 Michigan

Profile Details

NPI number 1376966572
LBN Legal business name Goulbourne, Elise Ashley
Credentials LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2014
Last updated Aug 1st, 2023 - about last year

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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