Randolph, Michelle

Randolph, Michelle is an individual health care provider with primary practice located at 2361 Fairlane Dr , Montgomery AL 36116-1633. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Randolph, Michelle can be contacted via phone (334) 279-7830.

Contact Information

Primary practice address
2361 Fairlane Dr Montgomery AL 36116-1633
Phone: (334) 279-7830
Fax: (334) 277-8862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3477 Alabama
Behavioral Health & Social Service Providers / Social Worker 104100000X 1688B Alabama

Profile Details

NPI number 1285091264
LBN Legal business name Randolph, Michelle
Credentials LPC, LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2016
Last updated Feb 12th, 2016 - about 10 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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