Abbott, Michael

Abbott, Michael is an sole proprietor health care provider with primary practice located at 1 Trillium Way , Corbin KY 40701-8426. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Abbott, Michael can be contacted via phone (606) 523-8521.

Contact Information

Primary practice address
1 Trillium Way Corbin KY 40701-8426
Phone: (606) 523-8521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0641 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1965 Kentucky

Profile Details

NPI number 1396955530
LBN Legal business name Abbott, Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Dec 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396955530 NPPES
Kentucky MEDICAID 7100317660
Kentucky Other P01458979

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