Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRESSIE MICKENS
Active Sole ProprietorTRESSIE MICKENS is a Community/Behavioral Health healthcare provider located in BROWNSBURG, Indiana. NPI 1417418195 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · BROWNSBURG, IN
Registration Details
- NPI Number
- 1417418195
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2019 (7.4177348932298 yrs)
- Last Updated
- Mar 26, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
6612 EAGLE CROSSING BLVDBROWNSBURG, IN, 461127420Browse IN providers · Browse ZIP 46112
- Phone
- 3175570988
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.