Provider Demographics
NPI:1821242595
Name:LEWINTER KNOX, MICHELE (LMFT)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:LEWINTER KNOX
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13154 N BOOMING DR
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-6793
Mailing Address - Country:US
Mailing Address - Phone:520-237-8708
Mailing Address - Fax:
Practice Address - Street 1:12450 N RANCHO VISTOSO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-9567
Practice Address - Country:US
Practice Address - Phone:520-237-8708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-10188106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist