Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Michelle Elaine Sample, MA-LLPC

Individual provider Community/Behavioral Health Agency · NPI 1861765166

Mrs. Michelle Elaine Sample, MA-LLPC is a Community/Behavioral Health Agency in Southgate, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 6401012299 (MI)

Record details

NPI number1861765166
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA-LLPC
Sole proprietorYes
NPI enumeratedFebruary 16, 2012
Last updated in NPPESJune 11, 2012

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