Provider Demographics
NPI:1780952507
Name:GLIO COUNSELING GROUP
Entity type:Organization
Organization Name:GLIO COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:TERESE
Authorized Official - Last Name:KASINEC
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, CAADC, NCC
Authorized Official - Phone:248-891-2255
Mailing Address - Street 1:826 S LAPEER RD STE B
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-6511
Mailing Address - Country:US
Mailing Address - Phone:248-891-2255
Mailing Address - Fax:248-969-2299
Practice Address - Street 1:826 S LAPEER RD STE B
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6511
Practice Address - Country:US
Practice Address - Phone:248-891-2255
Practice Address - Fax:248-969-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008842251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1982653861OtherINDIVIDUAL NPI #