MRS. MICHELLE WAITES
NPI 1114741931
Clinic/Center - Mental Health (Including Community Mental Health Center) in Danville, IL
- Individual
- Female
- Clinic/Center
- Mental Health (Including Community Menta...
About MICHELLE WAITES
This page provides the complete NPI Profile along with additional information for Michelle Waites, a provider established in Danville, Illinois with a medical specialization in Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1114741931 assigned on November 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1114741931 Verify this NPI
- Provider Name
- MRS. MICHELLE WAITES
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 123 N VERMILION ST DANVILLE, IL 61832
- Location Phone
- (217) 516-2438
- Mailing Address
- 49 LAKE ST DANVILLE, IL 61832
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-08-2024
- Last Update Date
- 11-08-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114741931, enumerated as an "individual" on November 08, 2024.
The provider is located at 123 N VERMILION ST DANVILLE, IL 61832 and the phone number is (217) 516-2438.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).