Boren, Michelle

Boren, Michelle is an individual health care provider with primary practice located at 316 Lincolnway , La Porte IN 46350. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Boren, Michelle can be contacted via phone (219) 707-0178.

Contact Information

Primary practice address
316 Lincolnway La Porte IN 46350
Phone: (219) 707-0178
Fax: (219) 325-0855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000643A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001957A Indiana

Profile Details

NPI number 1861667636
LBN Legal business name Boren, Michelle
Credentials LMHC, LCAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Sep 17th, 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 1861667636 NPPES
Indiana MEDICAID 100163580

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