Ellerman, Michelle Dawn
Ellerman, Michelle Dawn is an individual health care provider with primary practice located at 105 Broadway St , Vincennes IN 47591-1251. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is her primary health care specialty. Ellerman, Michelle Dawn can be contacted via phone (812) 790-2599.Contact Information
Primary practice address
105 Broadway St
Vincennes IN 47591-1251
Phone: (812) 790-2599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 88002155A | Indiana |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 1583231 | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 23-204 | Indiana |
Profile Details
| NPI number | 1962282319 |
|---|---|
| LBN Legal business name | Ellerman, Michelle Dawn |
| Credentials | LMHCA, ATR-P |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2023 |
| Last updated | Oct 19th, 2023 - 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.
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