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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MICHELLE ELAINE SAMPLE, MA-LLPC

Active Sole Proprietor

MRS. MICHELLE ELAINE SAMPLE, MA-LLPC is a Community/Behavioral Health healthcare provider located in SOUTHGATE, Michigan. NPI 1861765166 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · SOUTHGATE, MI

Registration Details

NPI Number
1861765166
Provider Type
Individual
Gender
Female
NPI Issued
Feb 16, 2012 (14.523182630875 yrs)
Last Updated
Jun 11, 2012
License
6401012299 (MI)
Sole Proprietor
Yes

Practice Information

Address
13101 ALLEN RD
SOUTHGATE, MI, 481952216
Browse MI providers · Browse ZIP 48195
Phone
7347857700
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in SOUTHGATE, MI

Name Credential NPI
SHERELLE J PALMER LLMSW 1538445952
CRYSTAL DAWN ELLISON 1578422671
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.