Provider Demographics
NPI:1477785475
Name:STINNETT, MICHELLE ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ANN
Last Name:STINNETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:ANN
Other - Last Name:STINNETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, CAADC
Mailing Address - Street 1:2966 QUARTZ DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3958
Mailing Address - Country:US
Mailing Address - Phone:248-879-9385
Mailing Address - Fax:
Practice Address - Street 1:2966 QUARTZ DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3958
Practice Address - Country:US
Practice Address - Phone:248-879-9385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011091171M00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator