MEDICARE: ATELIER PSYCHOLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1700747482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATELIER PSYCHOLOGY PLLC

Provider Business Mailing Address
First Line	:	2441 CLYDE RD
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-6756
Country	:	US
Telephone Number	:	734-773-8673
Fax Number	:

Provider Business Practice Location Address
First Line	:	2441 CLYDE RD
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-6756
Country	:	US
Telephone Number	:	734-773-8673
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MCKENZIE SOBCZAK
Credential	:	MA, LLP
Telephone Number	:	734-773-8673

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	12/10/2025

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