Provider Demographics
NPI:1811050065
Name:PARGMAN, MICHELLE AMY (LMHC)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:AMY
Last Name:PARGMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8665 BAYPINE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7553
Mailing Address - Country:US
Mailing Address - Phone:904-296-9436
Mailing Address - Fax:904-296-1511
Practice Address - Street 1:8665 BAYPINE RD STE 100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7553
Practice Address - Country:US
Practice Address - Phone:904-296-9436
Practice Address - Fax:904-296-1511
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6729101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health