Provider Demographics
NPI:1396038212
Name:STRAHLER, MICHELLE CAROLINE
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:CAROLINE
Last Name:STRAHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5329 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-2314
Mailing Address - Country:US
Mailing Address - Phone:702-434-1200
Mailing Address - Fax:702-434-7231
Practice Address - Street 1:5329 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-2314
Practice Address - Country:US
Practice Address - Phone:702-434-1200
Practice Address - Fax:702-434-7231
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0166106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1992095384Medicaid