Search › Michigan › 101YP2500X
Elise Goulbourne, LLPC
NPI 1376966572 · on the registry since 2014
Practice
- Address
- 2995 E Grand Blvd
Detroit, MI 48202 - Phone
- (313) 758-0150
- Fax
- (313) 758-0255
- Organisation at this address
- Black Family Development, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Additional practice sites
- 13 N Washington St, Ypsilanti, MI
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 103TC1900X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan