MICHEAL VILLANUEVA NPI 1649629833

NPI Information

  • NPI: 1649629833
  • Provider Name: MICHEAL VILLANUEVA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 124 EAST, MIRACLE STRIP PARKWAY
    SUITE 602
    MARY ESTHER, FL
    ZIP 32569
  • Phone: (850) 243-7035

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NPI Details

Micheal Villanueva is a mental health counselor in Mary Esther, FL. Micheal Villanueva NPI is 1649629833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

124 EAST, MIRACLE STRIP PARKWAY
SUITE 602
MARY ESTHER, FL
ZIP 32569-991
Phone: (850) 243-7035
Fax: (850) 243-8529

The enumeration date for this NPI number is 6/8/2016 and was last updated on 8/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMH14108Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1812734966OTHERFLORIDATAX ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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