Gibson Wellness Group, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GIBSON WELLNESS GROUP, LLC

Practice address

801 W Big Beaver Rd Ste 208
Troy, MI 48084-4726

Phone

(586) 651-0090

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Lori Frances Grant

Title

Manager

Phone

(586) 651-0090

Specialties & licenses 2

Addresses

Practitioners 1

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

• Crystal Gibson, TLLP

  • Psychologist
  • Sterling Heights, MI
  • NPI 1114382595
  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1891573770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 QUARTON RD",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483012319",
            "telephone_number": "586-651-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BIG BEAVER RD STE 208",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844726",
            "telephone_number": "586-651-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-651-0090"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Giannetti
• Dennis Steven Giannini, M.D.
• Vasiliki Giannopoulos, LLPC
• Terri Gibbons, PTA
• Steven Gibbs, OD
• Jennifer M Gideon, FNP
• Kelly M Giera, DDS
• Gilbert R Ladd IV MD PC
• Gilbert R Ladd IV MD PC
• Emma Gilbert

• Marriage & Family Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.