MICHELLE MARIE BAZAL (NPI# 1548728629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548728629 |
| Entity Type | Individual |
| Full Name | MICHELLE MARIE BAZAL |
| Other Name | MICHELLE MARIE EYL |
| Credential | LAC |
| Practice Address |
200 Highway 2 W Devils Lake ND 58301-3532 |
| Mailing Address |
Co Lake Region Human Service Center 200 Hwy 2 West Devils Lake ND 58301-3532 |
| Practice Telephone | 7016652200 |
| Practice Fax Number | 7016652300 |
| Mailing Telephone | 7016652200 |
| Mailing Fax Number | 7016652300 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1848 | ND | Behavioral Health & Social Service Providers |
| Street Address |
200 HIGHWAY 2 W |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669411930 | Lake Region Human Service Center | Clinic/Center | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2006-06-05 |
| 1730722950 | Paige Nicole Dahlen | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-10-21 |
| 1316440472 | Angela M Holtz | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-03-15 |
| 1083122717 | Megan Gean Clinton | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1962910745 | Jane F Adams | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1235657073 | James Michael Cole | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301 | 2017-08-31 |
| 1033631296 | Tania R Lyon | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-07-10 |
| 1740701754 | Lake Region Human Service Center | Community/Behavioral Health | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-29 |
| 1295255446 | Jacklyn Jane Aasmundstad | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-20 |
| 1871029132 | Nicole Jean Rosencrantz | Registered Nurse | 200 Highway 2 W, 200 Hwy 2 W, Devils Lake, ND 58301-3532 | 2017-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396777850 | Shawn Meier | Counselor | 200 Highway 2 Sw, Devils Lake, ND 58301-3532 | 2006-07-07 |
| 1710922059 | Michael Carr | Counselor | 7965 County 1, Devils Lake, ND 58301-8914 | 2006-06-19 |
| 1063946960 | Chelsey Simonsen | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-04-18 |
| 1477007250 | Amanda M Mcmahon | Counselor | 200 Highway 2 W, Devils Lake, ND 58301 | 2016-08-09 |
| 1063861037 | Aspiring Hope Therapy | Counselor | 210 Highway 2 W Ste 10, Devils Lake, ND 58301-2913 | 2016-06-09 |
| 1912399262 | Katie Jo Jorgenson | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2015-02-24 |
| 1568805778 | Billy W Mcewen Jr. | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2013-04-08 |
| 1952671117 | Troy Alan Fisher | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2012-01-05 |
| 1285930735 | Dharma Raj Pantha | Counselor | 1820 Walnut St E, Suit # 7, Devils Lake, ND 58301-3411 | 2011-02-01 |
| 1104058254 | Kevin Ross Juntunen | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2009-08-21 |
| Find all providers in DEVILS LAKE | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
Please comment or provide details below to improve the information on MICHELLE MARIE BAZAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.