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NPI Code Detail

MEDICARE: MICHELLE ARCHER MSED, LMHC, LPCC

MEDICARE: MICHELLE ARCHER MSED, LMHC, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorADC-009178-2015FL
2101YM0800XMental Health CounselorMH13530FL
3101YP2500XProfessional CounselorE2001753OH
4101YM0800XMental Health CounselorE.2001753OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679943922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ARCHER MSED, LMHC, LPCC
Provider Business Mailing Address
First Line : 1100 SHAWNEE RD
Second Line :
City : LIMA
State : OH
Zip : 45805-3529
Country : US
Telephone Number : 419-999-2010
Fax Number : 419-999-6284
Provider Business Practice Location Address
First Line : 2535 FORT AMANDA RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3728
Country : US
Telephone Number : 419-999-2010
Fax Number : 419-999-6284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2015
Last Update Date : 05/31/2024

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