Provider Demographics
NPI:1720700057
Name:SEYL, MICHELLE (LPC-A)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:SEYL
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 PANAMA CV
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2926
Mailing Address - Country:US
Mailing Address - Phone:214-620-8988
Mailing Address - Fax:
Practice Address - Street 1:2770 MAIN ST STE 139
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4357
Practice Address - Country:US
Practice Address - Phone:469-352-7491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89872101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional