Provider Demographics
NPI:1053358374
Name:MICHAELS, CHRISTINE LYNN (LMHC, CEAP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:LYNN
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:LMHC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 FRUITVILLE RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5343
Mailing Address - Country:US
Mailing Address - Phone:941-955-5518
Mailing Address - Fax:941-330-1966
Practice Address - Street 1:2801 FRUITVILLE RD
Practice Address - Street 2:SUITE 260
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5343
Practice Address - Country:US
Practice Address - Phone:941-955-5518
Practice Address - Fax:941-330-1966
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health