Willingham, Michele C
Willingham, Michele C is an individual health care provider with primary practice located at 11285 Highline Dr , Northglenn CO 80233-3076. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Willingham, Michele C can be contacted via phone (303) 853-3500.Contact Information
Primary practice address
11285 Highline Dr
Northglenn CO 80233-3076
Phone: (303) 853-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC.0000574 | Colorado |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ACD.0000188 | Colorado |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 574 | Colorado |
Profile Details
NPI number | 1710123617 |
---|---|
LBN Legal business name | Willingham, Michele C |
Credentials | MA, LPC, LAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 23rd, 2008 |
Last updated | Jul 6th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710123617 | NPPES |
Colorado | MEDICAID | 1730118 |
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