Healthcare Provider Details

I. General information

NPI: 1396546438
Provider Name (Legal Business Name): MICHELLE E MARABELLA MENTAL HEALTH COUNSELOR PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5270 TRANSIT RD
DEPEW NY
14043-4336
US

IV. Provider business mailing address

199 STRASMER RD
DEPEW NY
14043-4457
US

V. Phone/Fax

Practice location:
  • Phone: 716-955-0675
  • Fax: 716-566-1661
Mailing address:
  • Phone: 716-955-0675
  • Fax: 716-566-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE E MARABELLA
Title or Position: LMHC
Credential: LMHC, PLLC
Phone: 716-955-0675