Provider Demographics
NPI:1629535125
Name:SELL, MICHAEL DEAN (LPCC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DEAN
Last Name:SELL
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:OH
Mailing Address - Zip Code:43540-9703
Mailing Address - Country:US
Mailing Address - Phone:419-490-4271
Mailing Address - Fax:
Practice Address - Street 1:7110 W CENTRAL AVE STE A3-5
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-3115
Practice Address - Country:US
Practice Address - Phone:419-490-4271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2303451101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health