Doctor Name: | MANAL MICHAIL |
NPI Number: | 1154463545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | MT2010 |
Business Practice Address: | 5700 Lake Worth Rd Ste 112 Greenacres, FL - 334633213 |
Business Phone Number: | 9458053535 |
Business Fax Number: | |
Mailing Address: | 5509 Monte Fino Ct, GREENACRES |
State: | FL |
Postal Code: | 334635973 |
Phone Number: | 5619639192 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MT2010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |