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
Phone: (856) 403-8311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467100727 | NPPES |
| Other | NA | NA |
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