MEDICARE: MICHELLE BABETTE KOUT LMFT

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	IMF79550	CA
2	101YM0800X	Mental Health Counselor	LMFT117026	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LMFT117026	OTHER	CA	BOARD OF BEHAVIORAL SCIENCES LICENSE

General Provider Information

NPI Number	:	1407307754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE BABETTE KOUT LMFT

Provider Business Mailing Address
First Line	:	2150 N CENTRE CITY PKWY STE M
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1347
Country	:	US
Telephone Number	:	760-642-1202
Fax Number	:	951-858-9215

Provider Business Practice Location Address
First Line	:	2150 N CENTRE CITY PKWY STE M
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1347
Country	:	US
Telephone Number	:	760-642-1202
Fax Number	:	951-858-9215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2016
Last Update Date	:	07/01/2023

Similar Medicare Providers

1336308790 — MRS. JO A HENRY M.A.
Practice Location Address:

2150 N CENTRE CITY PKWY STE M
ESCONDIDO, CA
92026-1347

Practice Phone: 760-419-8487
Practice Fax: 760-749-7630

1801607858 — TRANQUIL SOUL THERAPY AN INDIVIDUAL MARRIAGE AND FAMILY COUNSELING CORPORATION
Practice Location Address:

2150 N CENTRE CITY PKWY STE M
ESCONDIDO, CA
92026-1347

Practice Phone: 760-642-1202
Practice Fax: 951-858-9215

1104789973 — GREG HAWKINS
Practice Location Address:

1441 MONTIEL RD STE 143
ESCONDIDO, CA
92026-2242

Practice Phone: 760-560-7927
Practice Fax:

1033072624 — ARLENE CHOUSMITH
Practice Location Address:

1441 MONTIEL RD STE 143
ESCONDIDO, CA
92026-2242

Practice Phone: 619-616-1783
Practice Fax:

1821952458 — PARINAZ FARAHANCHI PTA
Practice Location Address:

2010 PAMELA LN
ESCONDIDO, CA
92026-1033

Practice Phone: 760-994-3326
Practice Fax:

1437825783 — ROMO AVALOS ATC, DPT
Practice Location Address:

10240 CERVEZA DR
ESCONDIDO, CA
92026-6211

Practice Phone: 760-504-3492
Practice Fax:

Directions to “ MICHELLE BABETTE KOUT LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.