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Michael Louis Cicalese

Counselor

Behavioral Health & Social Service Providers

6803 Lake Worth Rd Ste 215, Greenacres, FL 33467-2979

PECOS Enrollment

This provider is enrolled in PECOS as MICHAEL CICALESE.

Based on the most recent information from CMS, provider Michael Louis Cicalese is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1073393476
Provider Type
Individual
Full Name
Cicalese, Michael Louis
Credential
LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/3/2023
Last Updated
10/30/2024

Contact Information

Practice Location

6803 Lake Worth Rd Ste 215, Greenacres, FL 33467-2979

(561) 207-7625

Unlisted Fax

Mailing Location

18505 Kitty Hawk Ct, Port Saint Lucie, FL 34987-3213

(772) 408-7445

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH22827 Florida

Michael Louis Cicalese

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Back, Kathy Leigh

Brazelton, Jodie Lynn

Rojas, Morgan Bailee

Blizzard, Debra Ann

Klein, Elan

Jcs Counseling, Llc

Coll, Heather Rosemarie

Maisel, Justin

Murtha, Caitlyn Lilly

Ruiz, Elizabeth