Provider Demographics
NPI:1417497488
Name:CILOSKI, MICHELLE LEIGH (LPC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:LEIGH
Last Name:CILOSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 W SAINT JOSEPH ST STE B301
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-5606
Mailing Address - Country:US
Mailing Address - Phone:517-230-5727
Mailing Address - Fax:
Practice Address - Street 1:3815 W SAINT JOSEPH ST STE B301
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-5606
Practice Address - Country:US
Practice Address - Phone:517-230-5727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-24
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health