Provider Demographics
NPI:1902197239
Name:GONCALVES, JOSEHNS SILVA (ED D, LLP, LMSW)
Entity Type:Individual
Prefix:DR
First Name:JOSEHNS
Middle Name:SILVA
Last Name:GONCALVES
Suffix:
Gender:M
Credentials:ED D, LLP, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR.
Mailing Address - Street 2:L4163
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-546-6400
Mailing Address - Fax:
Practice Address - Street 1:24 FRANK LLOYD WRIGHT DR.
Practice Address - Street 2:L4163
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9484
Practice Address - Country:US
Practice Address - Phone:734-546-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801018804104100000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker