Individual
MISS MICHELLE BORTNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1380 NE MIAMI GARDENS DR STE 255, MIAMI, FL 33179-4721
(305) 815-2174
Mailing address
12850 SW 71ST AVE, MIAMI, FL 33156-6273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MT3021
FL
Other
Enumeration date
03/02/2014
Last updated
04/05/2024
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