Provider Demographics
NPI:1659747632
Name:STEELE, DARRYL (LPC)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:
Last Name:STEELE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 GREEN MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-1255
Mailing Address - Country:US
Mailing Address - Phone:618-303-2984
Mailing Address - Fax:
Practice Address - Street 1:838 EDGEMONT BLVD APT 5
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2227
Practice Address - Country:US
Practice Address - Phone:618-303-2984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009843101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor