Provider Demographics
NPI:1801635537
Name:MICHALSKI, MARYGAIL (LPC-S, LSW)
Entity type:Individual
Prefix:
First Name:MARYGAIL
Middle Name:
Last Name:MICHALSKI
Suffix:
Gender:F
Credentials:LPC-S, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38285 DODDS HILL DR
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-6966
Mailing Address - Country:US
Mailing Address - Phone:216-374-7257
Mailing Address - Fax:
Practice Address - Street 1:38285 DODDS HILL DR
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-6966
Practice Address - Country:US
Practice Address - Phone:216-374-7257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0004747-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional