| Lori Michels, Llc | |
|
209 S Coopers Hawk Way Palm Coast FL 32164-2328 | |
| (203) 676-2796 | |
| Not Available |
| Full Name | Lori Michels, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 209 S Coopers Hawk Way, Palm Coast, Florida |
| Authorized Official Name and Position | Lori Michels (SOLE) |
| Authorized Official Contact | 2036762796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Michels, Llc 209 S Coopers Hawk Way Palm Coast FL 32164-2328 Ph: (203) 676-2796 | Lori Michels, Llc 209 S Coopers Hawk Way Palm Coast FL 32164-2328 Ph: (203) 676-2796 |
| NPI Number | 1518599521 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518599521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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