Provider Demographics
NPI:1932803574
Name:MCELROY, MARTIN II (LLPC)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:MCELROY
Suffix:II
Gender:M
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17319 WILTSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2856
Mailing Address - Country:US
Mailing Address - Phone:313-460-5647
Mailing Address - Fax:
Practice Address - Street 1:32813 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1702
Practice Address - Country:US
Practice Address - Phone:734-336-1416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health