Provider Demographics
NPI:1710722475
Name:PERLMAN, MICHAEL (LMHC,LPC,MHC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:PERLMAN
Suffix:
Gender:
Credentials:LMHC,LPC,MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21462 HALSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4841
Mailing Address - Country:US
Mailing Address - Phone:561-479-9320
Mailing Address - Fax:
Practice Address - Street 1:21462 HALSTEAD DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4841
Practice Address - Country:US
Practice Address - Phone:561-479-9320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15733101Y00000X
MI6401223506101Y00000X
NY014992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health