Provider Demographics
NPI:1669170288
Name:PEREZ, MICHAEL FRANK (LMHC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:FRANK
Last Name:PEREZ
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12000 BISCAYNE BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2720
Mailing Address - Country:US
Mailing Address - Phone:305-576-6550
Mailing Address - Fax:
Practice Address - Street 1:12000 BISCAYNE BLVD STE 303
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2720
Practice Address - Country:US
Practice Address - Phone:305-576-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health