Provider Demographics
NPI:1003482373
Name:MICHEL, SHAYLA MARIE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHAYLA
Middle Name:MARIE
Last Name:MICHEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SHAYLA
Other - Middle Name:MARIE
Other - Last Name:LINDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:44 RANDEAU PSGE
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-1145
Mailing Address - Country:US
Mailing Address - Phone:801-641-7526
Mailing Address - Fax:
Practice Address - Street 1:495 GOLD STAR HWY
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-6228
Practice Address - Country:US
Practice Address - Phone:860-861-1453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3197106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist