Gamalski, Lou A

Gamalski, Lou A is an individual health care provider with primary practice located at 124 Munson Ave , Traverse City MI 49686-3038. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gamalski, Lou A can be contacted via phone (248) 496-6530.

Contact Information

Primary practice address
124 Munson Ave Traverse City MI 49686-3038
Phone: (248) 496-6530
Fax: (833) 268-8214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801093636 Michigan

Profile Details

NPI number 1922417906
LBN Legal business name Gamalski, Lou A
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2014
Last updated May 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922417906 NPPES
Other 12770182 CAQH
MEDICAID 1790459899 CAQH

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