| Michelle Lopez Therapy | |
|
2051 W Prairie Cir Deltona FL 32725-3740 | |
| (407) 720-9789 | |
| (386) 368-7458 |
| Full Name | Michelle Lopez Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2051 W Prairie Cir, Deltona, Florida |
| Authorized Official Name and Position | Michelle Roxana Lopez (OWNER) |
| Authorized Official Contact | 8505668485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lopez Therapy 2051 W Prairie Cir Deltona FL 32725-3740 Ph: (850) 566-8485 | Michelle Lopez Therapy 2051 W Prairie Cir Deltona FL 32725-3740 Ph: (407) 720-9789 |
| NPI Number | 1457994832 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457994832 | NPI | - | NPPES |
| CSW.09928469 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
| SW16646 | Other | FL | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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