MEDICARE: MICHELLE PARRELLA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	27619	CA

General Provider Information

NPI Number	:	1124782107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE PARRELLA LCSW

Provider Business Mailing Address
First Line	:	PO BOX 64211
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-0211
Country	:	US
Telephone Number	:	605-549-5279
Fax Number	:

Provider Business Practice Location Address
First Line	:	2847 DELAWARE AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-5012
Country	:	US
Telephone Number	:	562-276-3026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	10/26/2021

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Directions to “ MICHELLE PARRELLA LCSW” Practice Location

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