Doctor Name: | MS. MICHELLE THOMAS PRUETT |
NPI Number: | 1255542783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, M.ED., ED.S. |
License Number: | 1892 |
Business Practice Address: | 3 Office Park Cir Suite 115 Mountain Brk, AL - 352232510 |
Business Phone Number: | 2053056789 |
Business Fax Number: | |
Mailing Address: | 117 Morris Blvd, HOMEWOOD |
State: | AL |
Postal Code: | 352095119 |
Phone Number: | 2052220161 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 02/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1892 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |