Provider Demographics
NPI:1578008066
Name:GATES, MICHELLE LENORE (MA, MHC-I)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LENORE
Last Name:GATES
Suffix:
Gender:F
Credentials:MA, MHC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 PINION ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8319
Mailing Address - Country:US
Mailing Address - Phone:775-738-8021
Mailing Address - Fax:775-738-8842
Practice Address - Street 1:1825 PINION ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8319
Practice Address - Country:US
Practice Address - Phone:775-738-8021
Practice Address - Fax:775-738-8842
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health