Heard, Mikaela Nicole

Heard, Mikaela Nicole is an individual health care provider with primary practice located at 2484 Ingleside Ave D202, Macon GA 31204-2089. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Heard, Mikaela Nicole can be contacted via phone (678) 748-0128.

Contact Information

Primary practice address
2484 Ingleside Ave D202 Macon GA 31204-2089
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Georgia

Profile Details

NPI number 1073894754
LBN Legal business name Heard, Mikaela Nicole
Credentials LAPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2011
Last updated Jan 2nd, 2015 - about 11 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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