Henderson, Michele Elizabeth
Henderson, Michele Elizabeth is an sole proprietor health care provider with primary practice located at 33 Union St Suite 20 & 25, S Weymouth MA 02190-2314. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Henderson, Michele Elizabeth can be contacted via phone (617) 786-7484.Contact Information
Primary practice address
33 Union St Suite 20 & 25
S Weymouth MA 02190-2314
Phone: (617) 786-7484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1026642 | Massachusetts |
Profile Details
| NPI number | 1508913997 |
|---|---|
| LBN Legal business name | Henderson, Michele Elizabeth |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508913997 | NPPES |
| Massachusetts | MEDICAID | 1892908 |
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