Provider Demographics
NPI:1811373160
Name:LORENZANA, MICHELLE (LAMFT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:LORENZANA
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 W GILA SPRINGS PL
Mailing Address - Street 2:SUITE 19
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3491
Mailing Address - Country:US
Mailing Address - Phone:480-282-8778
Mailing Address - Fax:
Practice Address - Street 1:6100 W GILA SPRINGS PL
Practice Address - Street 2:SUITE 19
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3491
Practice Address - Country:US
Practice Address - Phone:480-282-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-09
Last Update Date:2015-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10426106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist