Individual provider · Type 1 NPI

Gloria Danyale Manica

Counselor · Southgate, MI

NPI number 1902554793 Active

Practice location

1 Heritage Dr Ste 520
Southgate, MI 48195-3051

Call (734) 430-9211 Map

Mailing address

1126 Mill St
Lincoln Park, MI 48146-2442

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401226530 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1902554793

Gloria Danyale Manica's National Provider Identifier is 1902554793, issued on Mar 11, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Southgate, MI. The record was last updated on Oct 8, 2026.