Casey, Michelle
Casey, Michelle is an individual health care provider with primary practice located at 210 S Jt Stites Blvd , Sallisaw OK 74955-9301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Casey, Michelle can be contacted via phone (918) 775-7787.Contact Information
Primary practice address
210 S Jt Stites Blvd
Sallisaw OK 74955-9301
Phone: (918) 775-7787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1361 | Oklahoma |
Profile Details
| NPI number | 1417231168 |
|---|---|
| LBN Legal business name | Casey, Michelle |
| Credentials | LADC MH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2011 |
| Last updated | Feb 14th, 2024 - about 2 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 | 1417231168 | NPPES |
| Oklahoma | MEDICAID | 200383360B |
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