Carmichael, Mandy

Carmichael, Mandy is an individual health care provider with primary practice located at 3771 S A St , Richmond IN 47374-6053. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Carmichael, Mandy can be contacted via phone (765) 598-4197.

Contact Information

Primary practice address
3771 S A St Richmond IN 47374-6053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-93188 Indiana

Profile Details

NPI number 1275189029
LBN Legal business name Carmichael, Mandy
Credentials COUNSELOR
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Apr 9th, 2020 - about 6 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 1275189029 NPPES
Indiana MEDICAID 101YM0800X

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