Provider Demographics
NPI:1558849216
Name:PRASHAD, MICHELLE (MA, MSC)
Entity Type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:
Last Name:PRASHAD
Suffix:
Gender:F
Credentials:MA, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4737 CARLTON GOLF DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8132
Mailing Address - Country:US
Mailing Address - Phone:561-766-3735
Mailing Address - Fax:
Practice Address - Street 1:4737 CARLTON GOLF DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8132
Practice Address - Country:US
Practice Address - Phone:561-766-3735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH14851101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health