Individual provider · NPI-1

Michael Louis Cicalese, LMHC

Counselor, Mental Health · Greenacres, FL

NPI number1073393476
StatusActive
Last updated in NPPESOct 30, 2024

Details

NPI
1073393476
Entity type
Individual (NPI-1)
Name
Michael Louis Cicalese
Credential
LMHC
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 3, 2023
Certification date
Oct 30, 2024
Last updated
Oct 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH22827FLYes

Practice location

6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979

Phone 561-207-7625

Mailing address

18505 Kitty Hawk Ct
Port Saint Lucie, FL 34987-3213

Phone 772-408-7445

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