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MISS ELISE ASHLEY GOULBOURNE LLPC
NPI 1376966572
Counselor - Professional in Detroit, MI

Active since January 24, 2014
2995 E GRAND BLVD, DETROIT, MI 48202(313) 758-0150(313) 758-0255 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2023, Jan 11, 2023 (2 updates tracked since 2023).

About Miss Elise Ashley Goulbourne Llpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS ELISE ASHLEY GOULBOURNE LLPC (NPI 1376966572) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6451022680) and active in the NPI registry since January 2014. She maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1376966572
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS ELISE ASHLEY GOULBOURNECredential: LLPC
Location Address2995 E GRAND BLVDDetroit, MI 48202-3133
Mailing Address2995 E Grand Blvd Ste 1038Detroit, MI 48202-3133 · (313) 758-0150 · Fax (313) 758-0255
Phone(313) 758-0150
Fax(313) 758-0255
Sole ProprietorNo
Enumeration DateJanuary 24, 2014
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1376966572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6451022680
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 6301015813 (MI)
2995 E GRAND BLVD, Detroit, MI 48202
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Secondary Practice Location 1

Location 113 N Washington StYpsilanti, MI 48197-2617 · Phone (734) 999-0138

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIGA MYISHA MCCAMEY
Social Worker (Clinical)
2995 E GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 758-0150
MAKALYNN JAMYIAH TEAGUE
Peer Specialist
2995 E GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 758-0150
ALYSSA MILLER
Community Health Worker
2995 E GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 929-0266
KAROLYN TATE LLPC
Counselor (Professional)
2995 E GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 758-0150
ASMARA JOY WHEELER
Social Worker
2995 E GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 758-0150
MS. EXA BOSWELL
Social Worker
2995 E GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 758-0150
MS. VELDA A. HUNTER
Counselor (Professional)
2995 E GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 758-0150
SHARON DEMETRIA MCFOLLEY
Case Manager/Care Coordinator
2995 E GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 758-0150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Goulbourne's NPI number?

The NPI number for Elise Goulbourne is 1376966572. It was assigned to this individual provider in the NPPES registry on January 24, 2014.

Where is Elise Goulbourne located?

Elise Goulbourne practices at 2995 E Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 758-0150.

What is Elise Goulbourne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Elise Goulbourne was last updated on August 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.