MEDICARE: MRS. MICHELE VACARINO 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	101YM0800X	Mental Health Counselor	MH13966	FL

General Provider Information

NPI Number	:	1538527288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELE VACARINO LMHC

Provider Business Mailing Address
First Line	:	6196 OAK BLUFF WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7136
Country	:	US
Telephone Number	:	561-676-8179
Fax Number	:

Provider Business Practice Location Address
First Line	:	6196 OAK BLUFF WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7136
Country	:	US
Telephone Number	:	561-676-8179
Fax Number	:

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

Provider Enumeration Date	:	02/09/2016
Last Update Date	:	09/14/2022

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