MRS. MICHELLE ELAINE SAMPLE MA-LLPC
NPI 1861765166
Community/Behavioral Health in Southgate, MI

Q: What is Michelle Sample's NPI number?

The NPI number for Michelle Sample is 1861765166. It was assigned to this individual provider in the NPPES registry on February 16, 2012.

Q: What is Michelle Sample's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Sample was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2012

13101 ALLEN RD, SOUTHGATE, MI 48195(734) 785-7700 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Michelle Elaine Sample Ma-llpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE ELAINE SAMPLE MA-LLPC (NPI 1861765166) is an individual community/behavioral health provider in Southgate, Michigan, licensed in Michigan (6401012299) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1861765166

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameMRS. MICHELLE ELAINE SAMPLECredential: MA-LLPC

Location Address13101 ALLEN RDSouthgate, MI 48195-2216

Mailing Address24218 Grand Traverse AveBrownstown, MI 48134-8051 · (734) 642-8658

Phone(734) 785-7700

Sole ProprietorYes

Enumeration DateFebruary 16, 2012

Last NPPES UpdateJune 11, 2012

✔ NPI 1861765166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MI · 6401012299

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

13101 ALLEN RD, Southgate, MI 48195

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI SUE MITCHELL RN

Registered Nurse

13101 ALLEN RD
SOUTHGATE, MI 48195

Wayne County (734) 785-7731

SHANNON BAYNAI

Social Worker (Clinical)

13101 ALLEN RD
SOUTHGATE, MI 48195

Wayne County (734) 785-7700

MISS RENEE GOLDSBY

Case Manager/Care Coordinator

13101 ALLEN RD
SOUTHGATE, MI 48195

Wayne County (734) 486-3199

POONAM SHYAM MELWANI

Social Worker

13101 ALLEN RD
SOUTHGATE, MI 48195

Wayne County (734) 785-7705

MR. JAMES GERARD LIVINGSTON LLMSW

Social Worker (Clinical)

13101 ALLEN RD, SUITE 400
SOUTHGATE, MI 48195

Wayne County (734) 785-7705

VICKIE LYNN NOVELL LMSW

Social Worker (Clinical)

13101 ALLEN RD
SOUTHGATE, MI 48195

Wayne County (734) 785-7700

CLAUDETTE JEFFERSON LMSW

Social Worker (Clinical)

13101 ALLEN RD
SOUTHGATE, MI 48195

Wayne County (734) 785-7705

RICKY DAVIS QMHS-B

Case Manager/Care Coordinator

13101 ALLEN RD
SOUTHGATE, MI 48195

Wayne County (734) 785-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Sample's NPI number?

The NPI number for Michelle Sample is 1861765166. It was assigned to this individual provider in the NPPES registry on February 16, 2012.

Where is Michelle Sample located?

Michelle Sample practices at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Michelle Sample's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Michelle Sample was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.