Lopez, Michelle Roxana

Lopez, Michelle Roxana is an sole proprietor health care provider with primary practice located at 2051 W Prairie Cir , Deltona FL 32725-3740. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lopez, Michelle Roxana can be contacted via phone (407) 720-9789.

Contact Information

Primary practice address
2051 W Prairie Cir Deltona FL 32725-3740
Phone: (407) 720-9789
Fax: (386) 368-7458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW16646 Florida

Profile Details

NPI number 1992244248
LBN Legal business name Lopez, Michelle Roxana
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2017
Last updated May 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992244248 NPPES
Colorado Other CSW.09928469 COLORADO DEPARTMENT OF REGULATORY AGENCIES
Colorado Other SW16646 COLORADO DEPARTMENT OF REGULATORY AGENCIES

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