Provider Demographics
NPI:1538204292
Name:ROLING, MICHELLE MARIE (LMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MARIE
Last Name:ROLING
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 HYVUE ST
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-1922
Mailing Address - Country:US
Mailing Address - Phone:515-231-3018
Mailing Address - Fax:515-993-7310
Practice Address - Street 1:1412 HYVUE ST
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-1922
Practice Address - Country:US
Practice Address - Phone:515-231-3018
Practice Address - Fax:515-993-7310
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health