Provider Demographics
NPI:1467727644
Name:WINKLER, MICHAEL (LMHC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:WINKLER
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 1:5971 BRICK CT
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9307
Mailing Address - Country:US
Mailing Address - Phone:407-529-9664
Mailing Address - Fax:
Practice Address - Street 1:5971 BRICK CT
Practice Address - Street 2:SUITE 300
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9307
Practice Address - Country:US
Practice Address - Phone:407-529-9664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC 9082174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist