Provider Demographics
NPI:1316703127
Name:GAWLINSKI GUIDANCE AND COUNSELING, LLC
Entity type:Organization
Organization Name:GAWLINSKI GUIDANCE AND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHANCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GAWLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LLMSW, CADC
Authorized Official - Phone:702-287-1055
Mailing Address - Street 1:3101 GREENFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-9713
Mailing Address - Country:US
Mailing Address - Phone:702-287-1055
Mailing Address - Fax:
Practice Address - Street 1:3101 GREENFIELD DR
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-9713
Practice Address - Country:US
Practice Address - Phone:702-287-1055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty