Black, Michelle

Black, Michelle is an individual health care provider with primary practice located at 2018 Western Ave , Knoxville TN 37921-5718. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Black, Michelle can be contacted via phone (865) 544-0406.

Contact Information

Primary practice address
2018 Western Ave Knoxville TN 37921-5718
Phone: (865) 544-0406
Fax: (865) 544-0480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X P3257 Tennessee

Profile Details

NPI number 1588037055
LBN Legal business name Black, Michelle
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Nov 5th, 2015 - about 10 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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