Individual provider · Type 1 NPI

Michelle Elaine Sample, MA-LLPC

Community/Behavioral Health Agency · Southgate, MI

NPI number 1861765166 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Mailing address

24218 Grand Traverse Ave
Brownstown, MI 48134-8051

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X6401012299 (MI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1861765166

Michelle Elaine Sample, MA-LLPC's National Provider Identifier is 1861765166, issued on Feb 16, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Southgate, MI. The record was last updated on Jun 11, 2012.