Provider Demographics
NPI:1851987283
Name:POST, MICHELLE A (LMFT, CTBS)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:A
Last Name:POST
Suffix:
Gender:F
Credentials:LMFT, CTBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12426 GATELY OAKS LN E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-5838
Mailing Address - Country:US
Mailing Address - Phone:310-927-5611
Mailing Address - Fax:
Practice Address - Street 1:12426 GATELY OAKS LN E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-5838
Practice Address - Country:US
Practice Address - Phone:310-927-5611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40198106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1649749722Medicaid