Nielsen, Michele A

Nielsen, Michele A is an sole proprietor health care provider with primary practice located at 200 Ionia Ave Sw Suite 4112, Grand Rapids MI 49503-4116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nielsen, Michele A can be contacted via phone (616) 283-3120.

Contact Information

Primary practice address
200 Ionia Ave Sw Suite 4112 Grand Rapids MI 49503-4116
Phone: (616) 283-3120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301013548 Michigan
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6401010610 Michigan

Profile Details

NPI number 1457527020
LBN Legal business name Nielsen, Michele A
Credentials MA, LLP, LLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated Dec 7th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457527020 NPPES
Other NONE NONE

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