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NPI Code Detail

MEDICARE: MS. MICKELL TERESA SWEETING LCSW

MEDICARE: MS. MICKELL TERESA SWEETING LCSW
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
1101YM0800XMental Health CounselorSW13509FL

General Provider Information

NPI Number : 1720970312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICKELL TERESA SWEETING LCSW
Provider Business Mailing Address
First Line : 2411 ARCADIA DR
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-3623
Country : US
Telephone Number : 954-658-1958
Fax Number :
Provider Business Practice Location Address
First Line : 15055 NW 27TH AVE
Second Line :
City : OPA LOCKA
State : FL
Zip : 33054-3365
Country : US
Telephone Number : 786-466-2800
Fax Number : 786-466-2847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2025
Last Update Date : 07/17/2025

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