Provider Demographics
NPI:1215122759
Name:MORELLO, SARENA S (MS LMHC)
Entity type:Individual
Prefix:MRS
First Name:SARENA
Middle Name:S
Last Name:MORELLO
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 N FEDERAL HIGHWAY
Mailing Address - Street 2:STE 270 SOUTHCOAST PSYCHO THERAPY & EDUCATION ASSOC
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487
Mailing Address - Country:US
Mailing Address - Phone:561-482-2345
Mailing Address - Fax:
Practice Address - Street 1:5301 N FEDERAL HIGHWAY
Practice Address - Street 2:STE 270 SOUTHCOAST PSYCHO THERAPY & EDUCATION ASSOC
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487
Practice Address - Country:US
Practice Address - Phone:561-482-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLM40000250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health