MEDICARE: MICHELE RIVAS LMHC

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	008420	NY

General Provider Information

NPI Number	:	1437506391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE RIVAS LMHC

Provider Business Mailing Address
First Line	:	2111 N COMMERCE PKWY
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3238
Country	:	US
Telephone Number	:	631-455-1581
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 N COMMERCE PKWY
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3238
Country	:	US
Telephone Number	:	631-455-1581
Fax Number	:

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

Provider Enumeration Date	:	05/20/2016
Last Update Date	:	11/16/2023

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Directions to “ MICHELE RIVAS LMHC” Practice Location

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