Provider Demographics
NPI:1487380598
Name:HALE, MICHELE (LMFT)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:HALE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 SW 48TH AVE UNIT 612
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-6308
Mailing Address - Country:US
Mailing Address - Phone:210-500-7066
Mailing Address - Fax:
Practice Address - Street 1:4820 SW 48TH AVE UNIT 612
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-6308
Practice Address - Country:US
Practice Address - Phone:210-500-7066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4942101YM0800X
TX204913101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty