Provider Demographics
NPI:1437996428
Name:NIGH, MICHELLE ANN (PCLC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANN
Last Name:NIGH
Suffix:
Gender:F
Credentials:PCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 SW HIGGINS AVE APT C
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1450
Mailing Address - Country:US
Mailing Address - Phone:406-241-4061
Mailing Address - Fax:
Practice Address - Street 1:403 SW HIGGINS AVE APT C
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1450
Practice Address - Country:US
Practice Address - Phone:406-241-4061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-PCLC-LIC-71484101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health