MEDICARE: MYCLE POURBAIX 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	1041C0700X	Clinical Social Worker	SW16747	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841835311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYCLE POURBAIX LCSW

Provider Business Mailing Address
First Line	:	900 SE OCEAN BLVD STE 340
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-3502
Country	:	US
Telephone Number	:	772-322-0343
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 SE OCEAN BLVD STE 340
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-3502
Country	:	US
Telephone Number	:	772-322-0343
Fax Number	:

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

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	02/27/2024

Similar Medicare Providers

1093710303 — TYKES & TEENS, INC.
Practice Location Address:

900 SE OCEAN BLVD
STUART, FL
34994-3502

Practice Phone: 772-220-3439
Practice Fax: 772-220-3484

1033257209 — ANDREA GREENLEE LCSW
Practice Location Address:

900 SE OCEAN BLVD STE 340E
STUART, FL
34994-3502

Practice Phone: 772-220-3439
Practice Fax: 772-220-3484

1255467700 — ANA MARIA MARRERO MSN, APRN
Practice Location Address:

900 SE OCEAN BLVD STE 340
STUART, FL
34994-3502

Practice Phone: 772-220-3439
Practice Fax: 844-894-6967

1851849202 — ARLIN VILLARI
Practice Location Address:

900 SE OCEAN BLVD STE 340
STUART, FL
34994-3502

Practice Phone: 772-220-3439
Practice Fax:

1871084541 — JOHN PAUL BISCANIN
Practice Location Address:

900 SE OCEAN BLVD STE 340
STUART, FL
34994-3502

Practice Phone: 772-220-3439
Practice Fax:

1063050391 — ANGEL ALEXION MSW
Practice Location Address:

900 SE OCEAN BLVD STE 340
STUART, FL
34994-3502

Practice Phone: 772-220-3439
Practice Fax:

Directions to “ MYCLE POURBAIX LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.