Provider Demographics
NPI:1528745890
Name:DIALOGO LLC
Entity type:Organization
Organization Name:DIALOGO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GELMAR
Authorized Official - Middle Name:NATHANAEL
Authorized Official - Last Name:CARELA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:813-919-8043
Mailing Address - Street 1:7000 ROOSEVELT AVE STE 203-1
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2583
Mailing Address - Country:US
Mailing Address - Phone:313-279-8034
Mailing Address - Fax:313-241-9525
Practice Address - Street 1:7000 ROOSEVELT AVE STE 203-1
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2583
Practice Address - Country:US
Practice Address - Phone:313-279-8034
Practice Address - Fax:313-241-9525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty