Micheli, Sally Ann
Micheli, Sally Ann is an individual health care provider with primary practice located at 4960 Springhouse Dr , Springdale AR 72762-7261. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Micheli, Sally Ann can be contacted via phone (479) 750-2020.Contact Information
Primary practice address
4960 Springhouse Dr
Springdale AR 72762-7261
Phone: (479) 750-2020
Fax: (479) 872-1883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1963-C | Arkansas |
Profile Details
| NPI number | 1720021686 |
|---|---|
| LBN Legal business name | Micheli, Sally Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 8th, 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 | 1720021686 | NPPES |
| Arkansas | Other | 5Y575 | BLUE SHIELD PROVIDER # |
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