Provider Demographics
NPI:1649018078
Name:NATHAN MICHELS PLLC
Entity type:Organization
Organization Name:NATHAN MICHELS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHELS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:906-362-2014
Mailing Address - Street 1:229 W HEWITT AVE
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-3421
Mailing Address - Country:US
Mailing Address - Phone:720-984-6390
Mailing Address - Fax:
Practice Address - Street 1:112 W WASHINGTON ST STE A
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4367
Practice Address - Country:US
Practice Address - Phone:906-362-2014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty