Loudermelk, Micaela

Loudermelk, Micaela is an individual health care provider with primary practice located at 913 N Carolina Ave , Statesville NC 28677-3414. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Loudermelk, Micaela can be contacted via phone (704) 881-3760.

Contact Information

Primary practice address
913 N Carolina Ave Statesville NC 28677-3414
Phone: (704) 881-3760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-24876 North Carolina

Profile Details

NPI number 1811432420
LBN Legal business name Loudermelk, Micaela
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2017
Last updated Jan 5th, 2017 - about 8 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 1811432420 NPPES
North Carolina MEDICAID 720282G

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