Hickox, Michelle
Hickox, Michelle is an sole proprietor health care provider with primary practice located at 1549 Nw 37Th St , Oklahoma City OK 73118-2804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hickox, Michelle can be contacted via phone (405) 525-9508.Contact Information
Primary practice address
1549 Nw 37Th St
Oklahoma City OK 73118-2804
Phone: (405) 525-9508
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 879 | Oklahoma |
Profile Details
| NPI number | 1194941716 |
|---|---|
| LBN Legal business name | Hickox, Michelle |
| Credentials | MASTERS LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Feb 26th, 2016 - about 10 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 | 1194941716 | NPPES |
| Oklahoma | MEDICAID | 200079250 A | |
| Oklahoma | MEDICAID | 200390770 A |
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