Trout, Michael Robert

Trout, Michael Robert is an sole proprietor health care provider with primary practice located at 3926 Cumberland Rd , Fayetteville NC 28306-2687. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Trout, Michael Robert can be contacted via phone (910) 748-0061.

Contact Information

Primary practice address
3926 Cumberland Rd Fayetteville NC 28306-2687
Phone: (910) 748-0061
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1212 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1212 North Carolina

Profile Details

NPI number 1306897244
LBN Legal business name Trout, Michael Robert
Credentials MA, MSW, LCAS, CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Aug 18th, 2022 - about 3 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 1306897244 NPPES
North Carolina MEDICAID 6111996

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