Benton, Michelle Philbrook

Benton, Michelle Philbrook is an individual health care provider with primary practice located at 209 Barium Springs Dr , Statesville NC 28677-8454. She 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Benton, Michelle Philbrook can be contacted via phone (704) 832-5567.

Contact Information

Primary practice address
209 Barium Springs Dr Statesville NC 28677-8454
Phone: (704) 832-5567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20476 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 10290 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X S10290 North Carolina

Profile Details

NPI number 1518272152
LBN Legal business name Benton, Michelle Philbrook
Credentials LCMHCS, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2010
Last updated Apr 22nd, 2022 - about 2 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 1518272152 NPPES
North Carolina MEDICAID 1518272152

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