Thomas, Michelle R.

Thomas, Michelle R. is an individual health care provider with primary practice located at 1750 Kilbourn St , Elkhart IN 46514-1920. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Thomas, Michelle R. can be contacted via phone (574) 266-8066.

Contact Information

Primary practice address
1750 Kilbourn St Elkhart IN 46514-1920
Phone: (574) 266-8066
Fax: (574) 266-8066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005594 Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34005594A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005594A Indiana

Profile Details

NPI number 1801041488
LBN Legal business name Thomas, Michelle R.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2008
Last updated Aug 7th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801041488 NPPES
Indiana Other 000000716598 ANTHEM

Popular Providers