Healthcare Provider Details
I. General information
NPI: 1740858208
Provider Name (Legal Business Name): DOCTOR MICHELE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2021
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
315 S BEVERLY DR STE 629
BEVERLY HILLS CA
90212-4312
US
IV. Provider business mailing address
315 S BEVERLY DR STE 307
BEVERLY HILLS CA
90212-4309
US
V. Phone/Fax
- Phone: 310-780-4882
- Fax:
- Phone: 310-780-4882
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHELE
COOLEY-STRICKLAND
Title or Position: CEO / PSYCHOLOGIST
Credential: M.ED., PH.D.
Phone: 310-780-4882