Healthcare Provider Details

I. General information

NPI: 1821368887
Provider Name (Legal Business Name): MICHELLE MARIE HOSSINEI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2012
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2224 S CROATAN HWY D7, PMB 21
NAGS HEAD NC
27959-8813
US

IV. Provider business mailing address

2224 S CROATAN HWY D7, PMB 21
NAGS HEAD NC
27959-8813
US

V. Phone/Fax

Practice location:
  • Phone: 252-255-2733
  • Fax: 252-255-0787
Mailing address:
  • Phone: 252-255-2733
  • Fax: 252-255-0787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1597
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number20342
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: