Allen, Michelle Jeannine

Allen, Michelle Jeannine is an sole proprietor health care provider with primary practice located at 911 N Tennessee St Suite 204, Cartersville GA 30120-8514. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Allen, Michelle Jeannine can be contacted via phone (770) 386-0776.

Contact Information

Primary practice address
911 N Tennessee St Suite 204 Cartersville GA 30120-8514
Phone: (770) 386-0776
Fax: (678) 279-9950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APC002101 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006478 Georgia

Profile Details

NPI number 1093966087
LBN Legal business name Allen, Michelle Jeannine
Credentials LAPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2008
Last updated Sep 1st, 2012 - about 12 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 1093966087 NPPES
Georgia MEDICAID 003122047A

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