Provider Demographics
NPI:1982962049
Name:MICHELS, ADAM J (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:J
Last Name:MICHELS
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2199 LAPORTE RD
Mailing Address - Street 2:
Mailing Address - City:HEMLOCK
Mailing Address - State:MI
Mailing Address - Zip Code:48626-9508
Mailing Address - Country:US
Mailing Address - Phone:989-214-1142
Mailing Address - Fax:
Practice Address - Street 1:800 S POSEYVILLE RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-8983
Practice Address - Country:US
Practice Address - Phone:989-214-1142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011508101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional