Agrela, Michelle

Agrela, Michelle is an individual health care provider with primary practice located at 6136 Mountcreek Pl , Peachtree Corners GA 30092-2324. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Agrela, Michelle can be contacted via phone (774) 219-4426.

Contact Information

Primary practice address
6136 Mountcreek Pl Peachtree Corners GA 30092-2324
Phone: (774) 219-4426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7741 Florida

Profile Details

NPI number 1043433485
LBN Legal business name Agrela, Michelle
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Feb 1st, 2016 - about 9 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 1043433485 NPPES
Massachusetts MEDICAID 1309161

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