Provider Demographics
NPI:1124457981
Name:LINSLEY, MICHELLE L (MS, LMHC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:LINSLEY
Suffix:
Gender:
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:L
Other - Last Name:AUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:440 BUCKBOARD LN
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-5521
Mailing Address - Country:US
Mailing Address - Phone:859-455-6366
Mailing Address - Fax:
Practice Address - Street 1:440 BUCKBOARD LN
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-5521
Practice Address - Country:US
Practice Address - Phone:859-455-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60563543106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2048458Medicaid