Healthcare Provider Details

I. General information

NPI: 1558670075
Provider Name (Legal Business Name): MRS. MICHELLE ZOCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. MICHELLE ZOCH

II. Dates (important events)

Enumeration Date: 10/01/2010
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 STEPHENSON HWY STE 200
TROY MI
48083-1132
US

IV. Provider business mailing address

550 STEPHENSON HWY STE 200
TROY MI
48083-1132
US

V. Phone/Fax

Practice location:
  • Phone: 248-585-3239
  • Fax: 248-616-9759
Mailing address:
  • Phone: 248-585-3239
  • Fax: 248-616-9759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801093217
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: