Michelle, Reina Michelle

Michelle, Reina Michelle is an individual health care provider with primary practice located at 408 Ewell Ct. , Aptos CA 95003-5234. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Michelle, Reina Michelle can be contacted via phone (831) 662-3370.

Contact Information

Primary practice address
408 Ewell Ct. Aptos CA 95003-5234
Phone: (831) 662-3370
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California

Profile Details

NPI number 1205078516
LBN Legal business name Michelle, Reina Michelle
Credentials L.M.F.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Nov 22nd, 2022 - about 2 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 1205078516 NPPES
California Other ZZZ91891Z MEDICARE GROUP PTAN#
California Other FHC 40044F MEDICARE GROUP PTAN#
California Other ZZZ91892Z MEDICARE GROUP PTAN#
California MEDICAID 120578516 MEDICARE GROUP PTAN#
California Other FHC 70042F MEDICARE GROUP PTAN#
California Other ZZZ92069Z MEDICARE GROUP PTAN#

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