STACY E GOLLIFF (NPI# 1356780852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356780852 |
| Entity Type | Individual |
| Full Name | STACY E GOLLIFF |
| Credential | MS, LPC, NCC |
| Practice Address |
6548 Town Center Dr Ste D Clarkston MI 48346-4823 |
| Mailing Address |
888 W Big Beaver Rd Ste 1450 Troy MI 48084-4762 |
| Practice Telephone | 2487163684 |
| Mailing Telephone | 2482448644 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401013642 | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
6401013642 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31500 Schoolcraft Rd, Livonia, MI 481501805 | 7344229340 | 7344229353 |
| 3694 Clarkston Rd, Clarkston, MI 48348 | 2486889021 | |
| 888 W Big Beaver Rd Ste 1450, Troy, MI 480844762 | 2482448644 |
| Street Address |
6548 TOWN CENTER DR STE D |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700999018 | Beverly Hartman | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2006-08-17 |
| 1871046839 | Kevin Engelman | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2016-07-26 |
| 1326408238 | Amanda Kerbawy | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2016-03-04 |
| 1609122597 | Kathleen M Palmer | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2012-07-28 |
| 1679739700 | Richard Kneip, Ph.d., P.C. | Community/Behavioral Health | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2008-07-29 |
| 1154583342 | Bethany Joy Atwell | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2008-06-28 |
| 1558556035 | Kerry Lynn Leahy | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2007-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375582 | Action Works Counseling Pllc | Counselor | 8040 Ortonville Rd, Clarkston, MI 48348-4468 | 2020-01-14 |
| 1558912394 | Stephanie Denise Wilson Hegle | Counselor | 6552 Horncliffe Dr, Clarkston, MI 48346-3079 | 2019-09-23 |
| 1831675149 | Alexandra Cesar | Counselor | 3900 Memorial College Ave, Clarkston, GA 30021-2406 | 2018-07-19 |
| 1194262147 | Kareem Osborne | Counselor | 1901 Wild Cir, Clarkston, GA 30021-1482 | 2017-01-30 |
| 1518207570 | Jay Norman | Counselor | 730 6th St, Clarkston, WA 99403-2012 | 2013-02-27 |
| 1811253933 | Jason Andrew Giannini | Counselor | 3604 Clarkston Rd # 102, Clarkston, MI 48348-5215 | 2012-04-03 |
| 1629222039 | Diane Lois Stellini | Counselor | 6770 Dixie Hwy., Ste. 312, Clarkston, MI 48346 | 2008-11-12 |
| 1255595112 | Michelle Dutcher | Counselor | 8040 Ortonville Rd Ste A, Clarkston, MI 48348-4468 | 2008-07-10 |
| 1033292396 | Kaura H. Africa | Counselor | 8062 Ortonville Rd, Clarkston, MI 48348 | 2006-10-23 |
| 1821050576 | Holly Marie Workman | Counselor | 6887 Dixie Highway Suite A, Clarkston, MI 48346 | 2006-04-06 |
| Find all providers in CLARKSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.