Michelle M. Hicks
Individual provider Active NPI Professional Counselor · Emporia, VA
NPI 1477228641 · NPPES record last updated Aug 10, 2021
Key facts
- NPI
- 1477228641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701010574 (VA)
- Practice address
- 978 Fish Rd
Emporia, VA 23847-5031 - Phone
- (434) 378-2279
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701010574 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 0701010574 | VA | Yes |
Addresses
Primary practice location
978 Fish Rd
Emporia, VA 23847-5031
Mailing address
978 Fish Rd
Emporia, VA 23847-5031
Other providers in Emporia, VA
- Harold J Neal, Jr. DDS, PC
- Shayla M Harrison
- Iman Hawkins
- Julie Baird Hawley
- Brian Henry
- Hicksford Emergency Physicians LLC
- Howard Ernest Hightower
- Amy W. Hobbs
- Robyn Leigh Holloway
- Hope First LLC
All providers in Emporia, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.