Provider Demographics
NPI:1902059868
Name:PISCHEA, MICHELE ALAINE (MA, LLP, CAACDC)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:ALAINE
Last Name:PISCHEA
Suffix:
Gender:F
Credentials:MA, LLP, CAACDC
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:ALAINE
Other - Last Name:PISCHEA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1231 EAST MICHIGAN AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4081
Mailing Address - Country:US
Mailing Address - Phone:248-408-3007
Mailing Address - Fax:
Practice Address - Street 1:1231 EAST MICHIGAN AVE.
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823
Practice Address - Country:US
Practice Address - Phone:248-408-3007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012798103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)