Provider Demographics
NPI:1063382018
Name:MARSHBANKS MENTAL HEALTH
Entity type:Organization
Organization Name:MARSHBANKS MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRIMARY PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC CAADC CCS ACS
Authorized Official - Phone:810-373-5941
Mailing Address - Street 1:10246 CROUSE RD UNIT 64
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-7802
Mailing Address - Country:US
Mailing Address - Phone:810-373-5941
Mailing Address - Fax:
Practice Address - Street 1:5501 HARTLAND RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-9568
Practice Address - Country:US
Practice Address - Phone:810-373-5941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty