Derose, Michelle N

Derose, Michelle N is an individual health care provider with primary practice located at 2400 S 48Th St , Springdale AR 72762-6683. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Derose, Michelle N can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2400 S 48Th St Springdale AR 72762-6683
Phone: (479) 750-2020
Fax: (479) 750-4843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M1912013 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1912144 Arkansas

Profile Details

NPI number 1548783327
LBN Legal business name Derose, Michelle N
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Jul 21st, 2022 - about 4 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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