Provider Demographics
NPI:1720463003
Name:ALIBRI, JOELLE (ADDICTIONS COUNSELOR)
Entity type:Individual
Prefix:MS
First Name:JOELLE
Middle Name:
Last Name:ALIBRI
Suffix:
Gender:F
Credentials:ADDICTIONS COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36599 ORCHARD LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BALTIMORE
Mailing Address - State:MI
Mailing Address - Zip Code:48047-5550
Mailing Address - Country:US
Mailing Address - Phone:313-550-5577
Mailing Address - Fax:
Practice Address - Street 1:34224 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-4647
Practice Address - Country:US
Practice Address - Phone:586-281-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101200000X, 171400000X, 101YA0400X
MI6801097432104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171400000XOther Service ProvidersHealth & Wellness Coach