Provider Demographics
NPI:1477978898
Name:SEELEY, MICHELE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:SEELEY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 LONG ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-2541
Mailing Address - Country:US
Mailing Address - Phone:336-889-6161
Mailing Address - Fax:
Practice Address - Street 1:1401 LONG ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2541
Practice Address - Country:US
Practice Address - Phone:336-889-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178009424101YP2500X
NCA12230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional