Provider Demographics
NPI:1164855383
Name:LIFLAND, MICHELE HOBBI (LCSW)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:HOBBI
Last Name:LIFLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 S FLAGLER DR
Mailing Address - Street 2:APT 203
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-2390
Mailing Address - Country:US
Mailing Address - Phone:954-530-1561
Mailing Address - Fax:
Practice Address - Street 1:6299 DORSAY CT
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6305
Practice Address - Country:US
Practice Address - Phone:561-852-3333
Practice Address - Fax:561-852-3332
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW88251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW 8825OtherFL STATE LICENSE