MEDICARE: MICHELLE FLORES LCPC

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	101YP2500X	Professional Counselor	178017483	IL
2	101YP2500X	Professional Counselor	180016559	IL
3	101YM0800X	Mental Health Counselor	180.016559	IL

General Provider Information

NPI Number	:	1750099339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE FLORES LCPC

Provider Business Mailing Address
First Line	:	121 S NEW ST
Second Line	:
City	:	MILFORD
State	:	IL
Zip	:	60953-1301
Country	:	US
Telephone Number	:	847-373-4745
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 ALMAR PKWY STE A
Second Line	:
City	:	BOURBONNAIS
State	:	IL
Zip	:	60914-2393
Country	:	US
Telephone Number	:	815-214-9079
Fax Number	:

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

Provider Enumeration Date	:	11/11/2022
Last Update Date	:	05/13/2025

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Directions to “ MICHELLE FLORES LCPC” Practice Location

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