Provider Demographics
NPI:1689963399
Name:FERRANT, MICHELLE D (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:D
Last Name:FERRANT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:D
Other - Last Name:FERRANT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:792 GRAHAM RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1000
Mailing Address - Country:US
Mailing Address - Phone:330-928-2324
Mailing Address - Fax:
Practice Address - Street 1:792 GRAHAM RD
Practice Address - Street 2:SUITE C
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1000
Practice Address - Country:US
Practice Address - Phone:330-928-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA69431041C0700X
OHI.15003311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical