Provider Demographics
NPI:1073966214
Name:BURROWS, MESHELLE L (LPC)
Entity type:Individual
Prefix:
First Name:MESHELLE
Middle Name:L
Last Name:BURROWS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 COBB ST
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-2588
Mailing Address - Country:US
Mailing Address - Phone:231-876-6781
Mailing Address - Fax:231-876-6519
Practice Address - Street 1:15044 220TH AVE
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-9248
Practice Address - Country:US
Practice Address - Phone:231-527-7150
Practice Address - Fax:231-796-4109
Is Sole Proprietor?:No
Enumeration Date:2016-07-22
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014977101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401014977OtherSTATE OF MICHIGN LICENSE