Provider Demographics
NPI:1760083992
Name:MICHELLE STILES LMHC PLLC
Entity Type:Organization
Organization Name:MICHELLE STILES LMHC PLLC
Other - Org Name:MICHELLE STILES, LMHC, P.L.L.C
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:MISS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STILES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:315-247-8390
Mailing Address - Street 1:901 BUCKLEY RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-6501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:901 BUCKLEY RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-6501
Practice Address - Country:US
Practice Address - Phone:315-238-4173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHELLE STILES LMHC PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-04
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty