Healthcare Provider Details

I. General information

NPI: 1124970512
Provider Name (Legal Business Name): MICHAEL K HOUSEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10344 16TH ST SW
MANNING ND
58642-9425
US

IV. Provider business mailing address

10344 16TH ST SW
MANNING ND
58642-9425
US

V. Phone/Fax

Practice location:
  • Phone: 573-528-1662
  • Fax:
Mailing address:
  • Phone: 573-528-1662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number421030
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: