Healthcare Provider Details

I. General information

NPI: 1245392455
Provider Name (Legal Business Name): MICHELLE LEE SOLO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 WALTON BLVD STE 120
ROCHESTER HILLS MI
48309-1779
US

IV. Provider business mailing address

1460 WALTON BLVD STE 120
ROCHESTER HILLS MI
48309-1779
US

V. Phone/Fax

Practice location:
  • Phone: 248-844-6234
  • Fax:
Mailing address:
  • Phone: 248-844-6234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801084166
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: