Provider Demographics
NPI:1326775529
Name:WESTERFIELD, MICHAEL (MS, MA, MPA, MCAP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:WESTERFIELD
Suffix:
Gender:M
Credentials:MS, MA, MPA, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7146 HATTERAS BLVD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-6293
Mailing Address - Country:US
Mailing Address - Phone:850-832-9155
Mailing Address - Fax:
Practice Address - Street 1:7146 HATTERAS BLVD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-6293
Practice Address - Country:US
Practice Address - Phone:850-832-9155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMCAP100220101YA0400X
FLMH20552101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)