Healthcare Provider Details

I. General information

NPI: 1518252923
Provider Name (Legal Business Name): MICHELLE L CASS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22214 SOLOMON BLVD APT 135
NOVI MI
48375-5073
US

IV. Provider business mailing address

42790 GEORGETOWN
NOVI MI
48375-1767
US

V. Phone/Fax

Practice location:
  • Phone: 313-585-1329
  • Fax:
Mailing address:
  • Phone: 313-585-1329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401226107
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number680308619
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: