Provider Demographics
NPI:1811373160
Name:LORENZANA, MICHELLE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:LORENZANA
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3006 W WAYLAND DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-4464
Mailing Address - Country:US
Mailing Address - Phone:602-464-3289
Mailing Address - Fax:
Practice Address - Street 1:3006 W WAYLAND DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-4464
Practice Address - Country:US
Practice Address - Phone:602-464-3289
Practice Address - Fax:602-622-5374
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-09
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15248106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist