Gayle Walls-Brown PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801080183 Issued in MI

Legal business name

GAYLE WALLS-BROWN PLLC

Practice address

20700 Civic Center Dr
170
Southfield, MI 48076-4140

Phone

(313) 610-5711

NPI assigned

Jul 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gayle Elaine Walls-Brown, LMSW, ACSWNPI 1588772560

Title

Clinical Therapist

Phone

(313) 610-5711

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gayle Elaine Walls-Brown, LMSW, ACSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1588772560
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1861692824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19670 CHESTERFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211831",
            "telephone_number": "313-610-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 CIVIC CENTER DR",
            "address_2": "170",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764140",
            "telephone_number": "313-610-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLE WALLS-BROWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "WALLS-BROWN",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "313-610-5711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801080183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588772560",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Ann Gatto
• Suzanne Marie Gauvreau, LMT
• Denise Gavin
• Jennifer Joyce Gayagoy, M.D.
• Elizabeth Gaydayenko, LLMSW
• GD Mi MGD PLLC
• GD Mi Southfield PLLC
• Courtney Geer
• Roby Geevarghese, MD
• Antoine Geffrard, MD

• Community/Behavioral Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.