Provider Demographics
NPI:1750599189
Name:COLOMBINI, GIGI ANNA (LMSW)
Entity type:Individual
Prefix:MS
First Name:GIGI
Middle Name:ANNA
Last Name:COLOMBINI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CLOVERPORT AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2714
Mailing Address - Country:US
Mailing Address - Phone:248-259-6290
Mailing Address - Fax:
Practice Address - Street 1:630 N OLD WOODWARD AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-3858
Practice Address - Country:US
Practice Address - Phone:248-259-6290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010840801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical