Provider Demographics
NPI:1245392141
Name:STEELE, MICHAEL (LCSW)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:STEELE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1875
Mailing Address - Street 2:
Mailing Address - City:MONAHANS
Mailing Address - State:TX
Mailing Address - Zip Code:79756-1875
Mailing Address - Country:US
Mailing Address - Phone:432-943-4052
Mailing Address - Fax:
Practice Address - Street 1:303 S ALLEN AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:MONAHANS
Practice Address - State:TX
Practice Address - Zip Code:79756-4303
Practice Address - Country:US
Practice Address - Phone:432-940-4159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX085211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical