Individual
COLLEEN REVELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
755 W BIG BEAVER RD STE 475, TROY, MI 48084-4903
(248) 894-4514
Mailing address
755 W BIG BEAVER RD STE 475, TROY, MI 48084-4903
(248) 894-4514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801114451
MI
1041C0700X
Clinical Social Worker
6801114451
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/16/2019
Last updated
03/04/2026
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