MEDICARE: MRS. MICHELLE FAY ALBO LMHC

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	101Y00000X	Counselor	MH3435	FL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	MH3435	FL
3	101YM0800X	Mental Health Counselor	3435	FL
4	101YP2500X	Professional Counselor	MH3435	FL
5	101YM0800X	Mental Health Counselor	MH3435	FL

General Provider Information

NPI Number	:	1518150044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE FAY ALBO LMHC

Provider Business Mailing Address
First Line	:	7920 EXETER CIR W
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-8791
Country	:	US
Telephone Number	:	954-551-5505
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 N UNIVERSITY DR STE 350
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6000
Country	:	US
Telephone Number	:	954-227-2700
Fax Number	:	954-227-2704

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

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	10/09/2019

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