Provider Demographics
NPI:1467458406
Name:SALOMON, MICHELLE ANN (LMHC, NCC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ANN
Last Name:SALOMON
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 INTERNATIONAL PKWY STE 2000
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5096
Mailing Address - Country:US
Mailing Address - Phone:407-688-1770
Mailing Address - Fax:407-688-7205
Practice Address - Street 1:1540 INTERNATIONAL PKWY STE 2000
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5096
Practice Address - Country:US
Practice Address - Phone:407-688-1770
Practice Address - Fax:407-688-7205
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2018-01-22
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2007-04-06
Provider Licenses
StateLicense IDTaxonomies
FLMH7317101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ034UOtherBC/BS PROVIDER #
FLZ034UOtherBC/BS PROVIDER #