Provider Demographics
NPI:1164989661
Name:MICHAEL MCCARTHY, LCSW
Entity Type:Organization
Organization Name:MICHAEL MCCARTHY, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-479-7068
Mailing Address - Street 1:12550 BISCAYNE BLVD STE 800
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2545
Mailing Address - Country:US
Mailing Address - Phone:305-479-7068
Mailing Address - Fax:786-691-1733
Practice Address - Street 1:12550 BISCAYNE BLVD STE 800
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2545
Practice Address - Country:US
Practice Address - Phone:305-479-7068
Practice Address - Fax:786-691-1733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health