Provider Demographics
NPI:1902114010
Name:MICHEL, MELISSA DIANE (MSCP, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:DIANE
Last Name:MICHEL
Suffix:
Gender:F
Credentials:MSCP, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 MCLAUGHLIN RUN RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:UPPER SAINT CLAIR
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3100
Mailing Address - Country:US
Mailing Address - Phone:412-407-2900
Mailing Address - Fax:412-291-1214
Practice Address - Street 1:1580 MCLAUGHLIN RUN RD
Practice Address - Street 2:SUITE 214
Practice Address - City:UPPER SAINT CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-3100
Practice Address - Country:US
Practice Address - Phone:412-407-2900
Practice Address - Fax:412-291-1214
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005621101YP2500X
PA07623590101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC005621OtherSTATE SOCIAL WORKERS AND COUNSELORS