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
Fax: (479) 872-1883
Website:

Health care specialties

SpecialtyCodeLicense #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 18 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 1720021686 NPPES
Arkansas Other 5Y575 BLUE SHIELD PROVIDER #

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