Healthcare Provider Details

I. General information

NPI: 1780125732
Provider Name (Legal Business Name): YULIET MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 SW 31ST PL
CAPE CORAL FL
33991-1159
US

IV. Provider business mailing address

434 SW 31ST PL
CAPE CORAL FL
33991-1159
US

V. Phone/Fax

Practice location:
  • Phone: 305-733-5927
  • Fax:
Mailing address:
  • Phone: 305-733-5927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License NumberISW20603
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberISW20603
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: