| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL ACOSTA | 1508460460 | 2020-11-22 |
Michael Acosta is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508460460. Registration indicates Michael Acosta is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Michael Acosta LMSW |
| Practice Office Address | 1011 LAKE RIDGE DR UNIT 305 TRAVERSE CITY, MI US |
| Practice Office Telephone | 2315900048 |
| Mailing Address | 1011 LAKE RIDGE DR UNIT 305 TRAVERSE CITY, MI 496846625 US |
| Business Telephone | 2315900048 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 6801064319
MI |