Provider Demographics
NPI:1790671246
Name:MORALES CEPERO, LIDA (MS, RMHCI)
Entity type:Individual
Prefix:MS
First Name:LIDA
Middle Name:
Last Name:MORALES CEPERO
Suffix:
Gender:F
Credentials:MS, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23060 SW 124TH AVE FL 33170
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-6303
Mailing Address - Country:US
Mailing Address - Phone:786-315-1046
Mailing Address - Fax:786-315-1046
Practice Address - Street 1:23060 SW 124TH AVE FL 33170
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-6303
Practice Address - Country:US
Practice Address - Phone:786-315-1046
Practice Address - Fax:786-315-1046
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health