Provider Demographics
NPI:1467033191
Name:NISBET, MARGARET ANN (MA, LPC, CCTP, CCATP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:NISBET
Suffix:
Gender:F
Credentials:MA, LPC, CCTP, CCATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 CLEMENS RD
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48740-9596
Mailing Address - Country:US
Mailing Address - Phone:989-335-1379
Mailing Address - Fax:
Practice Address - Street 1:4400 CLEMENS RD
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:MI
Practice Address - Zip Code:48740-9596
Practice Address - Country:US
Practice Address - Phone:989-335-1379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013518101Y00000X
MI6401222994101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor