Michele L Walsh, LMFT
Individual provider Active NPI Marriage & Family Therapist · Umatilla, FL
NPI 1114214830 · NPPES record last updated Jul 1, 2011
Key facts
- NPI
- 1114214830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MT 2356 (FL)
- Practice address
- 19826 E 5TH St
Umatilla, FL 32784 - Phone
- (352) 771-8996
- Fax
- (352) 360-6582
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT 2356 | FL | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 2356 | FL | Yes |
Addresses
Primary practice location
19826 E 5TH St
Umatilla, FL 32784
Mailing address
PO Box 1934
Apopka, FL 32704-1934
Phone (352) 771-8996
Other providers in Umatilla, FL
- Umatilla Optical and Hearing Aid Center, Inc
- Umatilla Pharmacy Inc
- Jordan Andrew Walker
- Wallace Health, LLC
- Colleen Wallace
- Briana Whitsitt
- Stephenie Jo Wolford-Ward
- Veronica C Wright
All providers in Umatilla, FL · Marriage & Family Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.