Provider Demographics
NPI:1154471340
Name:PLANTE, MICHELLE J (LPC, CCAP, NCC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:J
Last Name:PLANTE
Suffix:
Gender:F
Credentials:LPC, CCAP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 STATE HWY 50 W
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-1336
Mailing Address - Country:US
Mailing Address - Phone:662-524-4347
Mailing Address - Fax:662-524-4364
Practice Address - Street 1:507 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:MS
Practice Address - Zip Code:39339-2559
Practice Address - Country:US
Practice Address - Phone:662-773-9377
Practice Address - Fax:662-773-9025
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0956101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health