Provider Demographics
NPI:1821254400
Name:GROVER, MICHAEL STEPHEN (LMHC, LMHC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:STEPHEN
Last Name:GROVER
Suffix:
Gender:M
Credentials:LMHC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 CRANES ROOST BLVD
Mailing Address - Street 2:STE111
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3418
Mailing Address - Country:US
Mailing Address - Phone:407-637-8095
Mailing Address - Fax:
Practice Address - Street 1:283 CRANES ROOST BLVD
Practice Address - Street 2:STE111
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3418
Practice Address - Country:US
Practice Address - Phone:407-637-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8744101YM0800X
FLCAP 3432101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)