Healthcare Provider Details

I. General information

NPI: 1164637427
Provider Name (Legal Business Name): DEBORAH MICHAUD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W CITRUS ST
ALTAMONTE SPRINGS FL
32714-2502
US

IV. Provider business mailing address

PO BOX 180662
CASSELBERRY FL
32718-0662
US

V. Phone/Fax

Practice location:
  • Phone: 407-682-6330
  • Fax: 407-682-5972
Mailing address:
  • Phone: 321-439-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMH4226
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: