Mathes, Michelle Lynn

Mathes, Michelle Lynn is an individual health care provider with primary practice located at 1125 W Spruce St , Olathe KS 66061-3123. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mathes, Michelle Lynn can be contacted via phone (913) 715-7700.

Contact Information

Primary practice address
1125 W Spruce St Olathe KS 66061-3123
Fax: (913) 826-1589
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1965 Kansas

Profile Details

NPI number 1386817997
LBN Legal business name Mathes, Michelle Lynn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Apr 14th, 2011 - about 14 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 1386817997 NPPES
Kansas MEDICAID 1174513444

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