Healthcare Provider Details

I. General information

NPI: 1760490155
Provider Name (Legal Business Name): MICHAEL CAPECE LMFT, LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 04/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 NW 6TH ST
GAINESVILLE FL
32601-4245
US

IV. Provider business mailing address

2744 SW 14TH DR
GAINESVILLE FL
32608-2054
US

V. Phone/Fax

Practice location:
  • Phone: 352-379-2829
  • Fax:
Mailing address:
  • Phone: 352-339-2094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: