Healthcare Provider Details

I. General information

NPI: 1619885696
Provider Name (Legal Business Name): MICHELLE MARIA MACARTHUR LMSW,CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4451 W HOUGHTON LAKE DR
HOUGHTON LAKE MI
48629-9780
US

IV. Provider business mailing address

133 ONEIDA DR
HOUGHTON LAKE MI
48629-8338
US

V. Phone/Fax

Practice location:
  • Phone: 989-259-2927
  • Fax:
Mailing address:
  • Phone: 989-538-0538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberC-02112
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801116213
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: