Active NPI
Global Wellness Enterprises PLLC
- Clinical Psychologist
- Royal Oak, MI
National Provider Identifier
1851067367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- GLOBAL WELLNESS ENTERPRISES PLLC
- Practice address
- 1112 Catalpa Dr
Royal Oak, MI 48067-1125 - Phone
- (248) 547-5280
- NPI assigned
- Aug 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Lacourse, PH.D.
- Title
- Owner
- Phone
- (248) 547-5280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1112 Catalpa Dr
Royal Oak, MI 48067-1125
Mailing address
801 Maxwell Ave
Royal Oak, MI 48067-1653
Phone (248) 547-5280
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629158400000",
"number": "1851067367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MAXWELL AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671653",
"telephone_number": "248-547-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 CATALPA DR",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671125",
"telephone_number": "248-547-5280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOBAL WELLNESS ENTERPRISES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A",
"authorized_official_last_name": "LACOURSE",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-547-5280",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.