Michelle Elaine Sample, MA-LLPC
Community/Behavioral Health in Southgate, MI. Individual provider (NPI-1).
NPI number1861765166
StatusActive
Last updated in NPPESJun 11, 2012
Details
- NPI
- 1861765166
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Elaine Sample
- Credential
- MA-LLPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2012
- Last updated
- Jun 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 6401012299 | MI | Yes |
Practice location
13101 Allen RdSouthgate, MI 48195-2216
Phone 734-785-7700
Mailing address
24218 Grand Traverse AveBrownstown, MI 48134-8051
Phone 734-642-8658
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All 20 Community/Behavioral Health Agency providers in Southgate · All 2,117 providers in Southgate
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