Provider Demographics
NPI:1952109746
Name:MICHELLE PAYNE COUNSELING
Entity type:Organization
Organization Name:MICHELLE PAYNE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CAC I
Authorized Official - Phone:303-886-4454
Mailing Address - Street 1:13586 WAMBLEE TRL
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-5327
Mailing Address - Country:US
Mailing Address - Phone:303-886-4454
Mailing Address - Fax:
Practice Address - Street 1:13586 WAMBLEE TRL
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-5327
Practice Address - Country:US
Practice Address - Phone:303-886-4454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)