Provider Demographics
NPI:1164637427
Name:MICHAUD, DEBORAH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:MICHAUD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 180662
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32718-0662
Mailing Address - Country:US
Mailing Address - Phone:321-439-6000
Mailing Address - Fax:
Practice Address - Street 1:108 W CITRUS ST
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2502
Practice Address - Country:US
Practice Address - Phone:407-682-6330
Practice Address - Fax:407-682-5972
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4226101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor