| Doctor Name: | MS. MICHELLE ESPINOZA |
| NPI Number: | 1952375933 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH 4531 |
| Business Practice Address: | 151 Mary Esther Blvd Ste 408 Mary Esther, FL - 32569 |
| Business Phone Number: | 8502267322 |
| Business Fax Number: | 8502267491 |
| Mailing Address: | 519 Boulder St, CRESTVIEW |
| State: | FL |
| Postal Code: | 32536 |
| Phone Number: | 8502267322 |
| Fax Number: | 8502267491 |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 07/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 4531 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |