Individual
MRS. CAROLE ELAINE GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Contact information
Practice address
43996 WOODWARD AVE, SUITE 101, BLOOMFIELD HILLS, MI 48302-5027
(248) 338-2988
(248) 338-1322
Mailing address
4753 WENDRICK DR, WEST BLOOMFIELD, MI 48323-3652
(248) 851-1210
(248) 626-1512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801066999
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028363
VALUE OPTIONS
MI
01
—
0911419
BCBSM MESSA/MAGELLAN
MI
01
—
1063603106
HEALTH PLUS PIN
MI
01
—
130958
CARE CHOICES/PREFERRED
MI
05
—
1705289
—
MI
01
—
20530
BCBS SA PIN
MI
01
—
258694
MHN PIN
MI
01
—
5266701
AETNA BEHAVIORAL HEALTH
MI
01
—
7509104190
BCBSM MENTAL HEALTH PIN
MI
Enumeration date
07/03/2006
Last updated
07/09/2007
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