Dr Michelle R Henriques, PHD, LCSW, LCDC is a
Social Worker - Clinical based in Fort Moore, Georgia. Dr Michelle R Henriques is licensed to practice in Texas (license number 55290) and her current practice location is
6600 Van Aalst Blvd, Fort Moore, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 644-1225.
NPI number for Dr Michelle R Henriques is 1730420340 and her current mailing address is 71 Portico Pl, Newnan, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730420340.
Healthcare Provider's Profile
| Full Name | Dr Michelle R Henriques |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730420340
- Provider Enumeration Date: 03/06/2013
- Last Update Date: 01/23/2025
Medical Identifiers
Medical identifiers for Dr Michelle R Henriques such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730420340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11588 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW23402 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 55290 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michelle R Henriques is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michelle R Henriques, PHD, LCSW, LCDC
71 Portico Pl,
Newnan, GA 30265-5944
Ph: (404) 644-1225 | Dr Michelle R Henriques, PHD, LCSW, LCDC
6600 Van Aalst Blvd,
Fort Moore, GA 31905-2102
Ph: (404) 644-1225 |
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