Provider Demographics
NPI:1407261274
Name:FREELS, MICHAEL (LMHC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:FREELS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3081 E COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4380
Mailing Address - Country:US
Mailing Address - Phone:954-776-6544
Mailing Address - Fax:954-776-5573
Practice Address - Street 1:3081 E COMMERCIAL BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4380
Practice Address - Country:US
Practice Address - Phone:954-776-6544
Practice Address - Fax:954-776-5573
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0004377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health