Hendrickson, Micah Shane

Hendrickson, Micah Shane is an individual health care provider with primary practice located at 2523 Us Highway 27 S Ste 130, Avon Park FL 33825-7744. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hendrickson, Micah Shane can be contacted via phone (863) 452-0710.

Contact Information

Primary practice address
2523 Us Highway 27 S Ste 130 Avon Park FL 33825-7744
Phone: (863) 452-0710
Fax: (863) 452-0142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH13683 Florida

Profile Details

NPI number 1063887164
LBN Legal business name Hendrickson, Micah Shane
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2015
Last updated Dec 1st, 2015 - about 9 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.

Request for update

Popular Providers