Healthcare Provider Details

I. General information

NPI: 1841177227
Provider Name (Legal Business Name): MICHELE VIGIL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 E COLORADO BLVD # 60073
PASADENA CA
91106-2325
US

IV. Provider business mailing address

967 E COLORADO BLVD # 60073
PASADENA CA
91106-2325
US

V. Phone/Fax

Practice location:
  • Phone: 213-293-8183
  • Fax:
Mailing address:
  • Phone: 213-293-8183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: