Hall, Mia Michelle

Hall, Mia Michelle is an individual health care provider with primary practice located at 17145 Bonstelle Ave , Southfield MI 48075-3470. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hall, Mia Michelle can be contacted via phone (248) 996-4917.

Contact Information

Primary practice address
17145 Bonstelle Ave Southfield MI 48075-3470
Phone: (248) 996-4917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 6801086971 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801086971 Michigan

Profile Details

NPI number 1629437769
LBN Legal business name Hall, Mia Michelle
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2016
Last updated Jul 6th, 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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