Doctor Name: | MICHELLE AGRELA |
NPI Number: | 1043433485 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | MH7741 |
Business Practice Address: | 6136 Mountcreek Pl Peachtree Corners, GA - 300922324 |
Business Phone Number: | 7742194426 |
Business Fax Number: | |
Mailing Address: | 6136 Mountcreek Pl, PEACHTREE CORNERS |
State: | GA |
Postal Code: | 300922324 |
Phone Number: | 7742194426 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH7741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |