Provider Demographics
NPI:1851808448
Name:NADEL, MICHELLE (LPC, LPC-MHSP; LMHC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:NADEL
Suffix:
Gender:F
Credentials:LPC, LPC-MHSP; LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 JACKSONVILLE RD UNIT 5308
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1543
Mailing Address - Country:US
Mailing Address - Phone:718-755-3549
Mailing Address - Fax:
Practice Address - Street 1:3 OHIO CT APT D
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-4400
Practice Address - Country:US
Practice Address - Phone:718-755-3549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007004101YM0800X
TN3787101YM0800X
PAPC010509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health