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NPI Code Detail

MEDICARE: MICHELLE SAMMONS LPCC

MEDICARE:   MICHELLE  SAMMONS  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
1101YM0800XMental Health CounselorE.2303656OH

General Provider Information

NPI Number : 1902541535
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SAMMONS LPCC
Provider Business Mailing Address
First Line : 20620 JOHN CARROLL BLVD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4539
Country : US
Telephone Number : 440-290-9508
Fax Number :
Provider Business Practice Location Address
First Line : 20620 JOHN CARROLL BLVD STE 214
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4540
Country : US
Telephone Number : 216-408-7555
Fax Number : 216-424-3239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2022
Last Update Date : 10/30/2023

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Directions to “ MICHELLE SAMMONS LPCC” Practice Location

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