Provider Demographics
NPI:1124869334
Name:MICHELS, DENISE (LPC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MICHELS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 WAUBONSEE TRL
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1252
Mailing Address - Country:US
Mailing Address - Phone:630-606-7677
Mailing Address - Fax:
Practice Address - Street 1:1121 E MAIN ST STE 310
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2276
Practice Address - Country:US
Practice Address - Phone:630-277-9731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.020152101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health