Micheli, Lucia Marie
Micheli, Lucia Marie is an individual health care provider with primary practice located at 500 Elm Grove Rd Suite 100 Trillium Care Group, Elm Grove WI 53122. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Micheli, Lucia Marie can be contacted via phone (262) 782-2090.Contact Information
Primary practice address
500 Elm Grove Rd Suite 100 Trillium Care Group
Elm Grove WI 53122
Phone: (262) 782-2090
Fax: (262) 782-2092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11091 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1900121 | Wisconsin |
Profile Details
| NPI number | 1770633752 |
|---|---|
| LBN Legal business name | Micheli, Lucia Marie |
| Credentials | MSW CADC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1770633752 | NPPES |
| Wisconsin | MEDICAID | 40957000 |
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