Most Relevant Information
Provider Data
| NPI Number: | 1003450289 |
| Provider Name: | MICHELLE T REICHARD LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH17495 |
Most Important Dates
| Enumeration Date: | 10/31/2019 |
| Last Updated: | 11/11/2021 |
Provider Practice Location
14400 NW 77TH CT STE 100
MIAMI LAKES
FL
330161590
Practice Location Phone/Fax
| Phone: | 7869166073 |
| Fax: | 7866573092 |
Provider Mailing Location
14400 NW 77TH CT STE 100
MIAMI LAKES
FL
330161590
Provider Mailing Phone/Fax
| Phone: | 7869166073 |
| Fax: | 7866573092 |