Healthcare Provider Details

I. General information

NPI: 1821934183
Provider Name (Legal Business Name): MICHELLE MARIE COMMANDER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1547 OHIO AVE
ANDERSON IN
46016-1917
US

IV. Provider business mailing address

1547 OHIO AVE
ANDERSON IN
46016-1917
US

V. Phone/Fax

Practice location:
  • Phone: 765-641-7499
  • Fax: 765-641-2611
Mailing address:
  • Phone: 765-641-7499
  • Fax: 765-641-2611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005998A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: