MEDICARE: MICHELLE ROBIN GOULD CORPORATION

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1386270528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE ROBIN GOULD CORPORATION

Provider Business Mailing Address
First Line	:	7754 OKEECHOBEE BLVD UNIT 4-45
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2104
Country	:	US
Telephone Number	:	561-720-4131
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 LAKE WORTH RD STE 307
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3203
Country	:	US
Telephone Number	:	561-720-4131
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHELLE ROBIN GOULD
Credential	:	LMHC
Telephone Number	:	561-720-4131

Provider Enumeration Date	:	03/19/2020
Last Update Date	:	03/04/2026

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