Villa, Michelle

Villa, Michelle is an individual health care provider with primary practice located at 500 Craig Rd Ste 100 , Manalapan NJ 07726-8748. 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 / Clinical is her primary health care specialty. Villa, Michelle can be contacted via phone (856) 403-8311.

Contact Information

Primary practice address
500 Craig Rd Ste 100 Manalapan NJ 07726-8748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00394200 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW024600 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC06222100 New Jersey

Profile Details

NPI number 1467100727
LBN Legal business name Villa, Michelle
Credentials MSW, LCSW, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2022
Last updated Oct 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467100727 NPPES
Other NA NA

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