Head, Chrystyna Michelle

Head, Chrystyna Michelle is an sole proprietor health care provider with primary practice located at 23300 Greenfield Rd Ste 122 , Oak Park MI 48237-8408. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Head, Chrystyna Michelle can be contacted via phone (248) 968-9508.

Contact Information

Primary practice address
23300 Greenfield Rd Ste 122 Oak Park MI 48237-8408
Phone: (248) 968-9508
Fax: (248) 968-9516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801098969 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1205426590
LBN Legal business name Head, Chrystyna Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2021
Last updated Jan 21st, 2021 - about 4 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 1205426590 NPPES
Michigan MEDICAID MI5839

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