Ellwanger, Michelle Hanrahan

Ellwanger, Michelle Hanrahan is an sole proprietor health care provider with primary practice located at 42 3Rd St Nw , Hickory NC 28601-6135. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellwanger, Michelle Hanrahan can be contacted via phone (704) 462-4200.

Contact Information

Primary practice address
42 3Rd St Nw Hickory NC 28601-6135
Fax: (704) 462-4204
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X NCBLPC #5474 North Carolina

Profile Details

NPI number 1932319290
LBN Legal business name Ellwanger, Michelle Hanrahan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Aug 6th, 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 1932319290 NPPES
New York Other LICENSE #5474 NCBLPC
New York Other CERTIFICATE #90520 NCBLPC

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