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General NPI Number Information
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NPI Number | 1063382018
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Entity Type | Organization
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Legal Business Name | MARSHBANKS MENTAL HEALTH
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 5501 HARTLAND RD
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City | FENTON
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State | MI
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Zip | 48430-9568
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Country | US
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Telephone | 810-373-5941
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Fax |
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Provider Business Mailing Address
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Address Line | 10246 CROUSE RD UNIT 64
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City | HARTLAND
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State | MI
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Zip | 48353-7802
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Country | US
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Telephone | 810-373-5941
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRIMARY PROVIDER
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Name | MRS. MICHELLE MARSHBANKS
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Credential | LPC CAADC CCS ACS
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Telephone | 810-373-5941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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