Healthcare Provider Details

I. General information

NPI: 1699454918
Provider Name (Legal Business Name): MICHELLE CATHERINE LUZI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE JONES

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28106 BOUQUET CANYON RD # 1004
SANTA CLARITA CA
91350-2016
US

IV. Provider business mailing address

28106 BOUQUET CANYON RD # 1004
SANTA CLARITA CA
91350-2016
US

V. Phone/Fax

Practice location:
  • Phone: 805-663-8048
  • Fax:
Mailing address:
  • Phone: 805-663-8048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCSW133626
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6801122074
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW133626
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801122074
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: