# MICHELLE FAIRBANK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michelle Fairbank, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760239354
- **Authorized official:** MICHELLE FAIRBANK LCPC, LMAC (MENTAL HEALTH PROVIDER)
- **Authorized official phone:** (785) 261-0694

## Contact information

- **Practice address:** 2703 HALL ST STE 13, HAYS, KS 67601-1964
- **Practice address phone:** (785) 261-0694
- **Practice address fax:** (785) 261-0697
- **Mailing address:** 2703 HALL ST STE 13, HAYS, KS 67601-1964
- **Mailing address phone:** (785) 261-0694
- **Mailing address fax:** (785) 261-0697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2024
- **Last updated:** 05/02/2024