Douglas, Michelle

Douglas, Michelle is an individual health care provider with primary practice located at 222 Coneflower Dr , Spring Branch TX 78070-5039. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Douglas, Michelle can be contacted via phone (830) 515-8988.

Contact Information

Primary practice address
222 Coneflower Dr Spring Branch TX 78070-5039
Phone: (830) 515-8988
Fax: (830) 438-8051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19377 Texas

Profile Details

NPI number 1962578765
LBN Legal business name Douglas, Michelle
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 9th, 2007 - about 17 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 1962578765 NPPES
Texas MEDICAID 1795882

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