Moreno, Michelle Stacy

Moreno, Michelle Stacy is an individual health care provider with primary practice located at 1685 Baldwin Ave Ste 100 , Pontiac MI 48340-1115. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moreno, Michelle Stacy can be contacted via phone (248) 706-3450.

Contact Information

Primary practice address
1685 Baldwin Ave Ste 100 Pontiac MI 48340-1115
Phone: (248) 706-3450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401222459 Michigan

Profile Details

NPI number 1184193625
LBN Legal business name Moreno, Michelle Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2018
Last updated Oct 14th, 2024 - 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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