Bates, Michelle Kathlyn
Bates, Michelle Kathlyn is an sole proprietor health care provider with primary practice located at 120 Capcom Ave Ste 101 , Wake Forest NC 27587-6537. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bates, Michelle Kathlyn can be contacted via phone (919) 792-3967.Contact Information
Primary practice address
120 Capcom Ave Ste 101
Wake Forest NC 27587-6537
Phone: (919) 792-3967
Fax: (919) 761-5026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004357 | North Carolina |
Profile Details
| NPI number | 1063474377 |
|---|---|
| LBN Legal business name | Bates, Michelle Kathlyn |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Aug 11th, 2021 - about 5 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 | 1063474377 | NPPES |
| North Carolina | MEDICAID | 6106594 |
Popular Providers
-
Gregory, Tracee
833 Wake Forest Business Park Suite G, Wake Forest NC 27587-7184 -
Griffin, Marian C
1906 S Main St 120, Wake Forest NC 27587-5032 -
Mccoig, Ralph J
839 Wake Forest Business Park Ste C Suite F, Wake Forest NC 27587-7335 -
Gardner, Valarie Tucker
833 Durham Rd Suite A, Wake Forest NC 27587-8793 -
Alexander, Amanda Leak
420 West Stadium Drive , Wake Forest NC 27587 -
Brady, Suzanne Marie
Wake Forest Business Park, 839 Durham Highway 839 C, Suite C, Wake Forest NC 27587 -
Detweiler, Elizabeth
839 Wake Forest Business Park Ste C , Wake Forest NC 27587-7335 -
Hailey, Meredith Lee
120 Capcom Ave Suite 101, Wake Forest NC 27587