Provider Demographics
NPI:1326881244
Name:MORALES, LAURA LIZETH (LMHC)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LIZETH
Last Name:MORALES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 ACAPULCO DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4710
Mailing Address - Country:US
Mailing Address - Phone:954-662-0064
Mailing Address - Fax:
Practice Address - Street 1:2900 ACAPULCO DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-4710
Practice Address - Country:US
Practice Address - Phone:954-662-0064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH23186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty