Fleitman, Micah
Fleitman, Micah is an individual health care provider with primary practice located at 175 S Pantops Dr Ste 101 , Charlottesville VA 22911-8673. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Fleitman, Micah can be contacted via phone (434) 328-1044.Contact Information
Primary practice address
175 S Pantops Dr Ste 101
Charlottesville VA 22911-8673
Phone: (434) 328-1044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701009645 | Virginia |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0701009645 | Virginia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0701009645 | Virginia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701009645 | Virginia |
Profile Details
| NPI number | 1790397925 |
|---|---|
| LBN Legal business name | Fleitman, Micah |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2020 |
| Last updated | Jan 17th, 2024 - about last year |
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 | 1790397925 | NPPES |
| Virginia | Other | 1285392837 | NPI-2 ORGANIZATION |
| Virginia | Other | 1164293403 | NPI-2 ORGANIZATION |
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