Provider Demographics
NPI:1386270528
Name:MICHELLE ROBIN GOULD CORPORATION
Entity type:Organization
Organization Name:MICHELLE ROBIN GOULD CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-720-4131
Mailing Address - Street 1:7750 OKEECHOBEE BLVD UNIT 4-45
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2104
Mailing Address - Country:US
Mailing Address - Phone:561-720-4131
Mailing Address - Fax:
Practice Address - Street 1:5700 LAKE WORTH RD STE 112
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3213
Practice Address - Country:US
Practice Address - Phone:561-720-4131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty