Hawbaker, Michelle M
Hawbaker, Michelle M is an individual health care provider with primary practice located at 555 Belaire Ave Ste 350 , Chesapeake VA 23320-4789. She recently has 3 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hawbaker, Michelle M can be contacted via phone (804) 207-6737.Contact Information
Primary practice address
555 Belaire Ave Ste 350
Chesapeake VA 23320-4789
Phone: (804) 207-6737
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-1992 | North Carolina |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CCS-13381 | North Carolina |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | S4898 | North Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | S4898 | North Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701009036 | Virginia |
Profile Details
NPI number | 1710079629 |
---|---|
LBN Legal business name | Hawbaker, Michelle M |
Credentials | LPC, LCMHCS, CCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2006 |
Last updated | Jan 3rd, 2024 - about 10 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710079629 | NPPES |
Virginia | MEDICAID | 30017707280001 | |
Virginia | MEDICAID | 6103169 | |
Virginia | Other | LCO383 | |
Virginia | Other | 0701009036 | |
Virginia | Other | 4898 |
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