Provider Demographics
NPI:1720397813
Name:MAYS, MICHAEL D (LMFT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:MAYS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12909 N 56TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1275
Mailing Address - Country:US
Mailing Address - Phone:813-765-4770
Mailing Address - Fax:
Practice Address - Street 1:12909 N 56TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-1275
Practice Address - Country:US
Practice Address - Phone:813-765-4770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT2503106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist