Healthcare Provider Details

I. General information

NPI: 1861328445
Provider Name (Legal Business Name): MARIA JOSE MORA LAVALLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 BEDFORD DR STE 102
MELBOURNE FL
32940-1993
US

IV. Provider business mailing address

2798 PEMBROKE RD
MELBOURNE FL
32935-2437
US

V. Phone/Fax

Practice location:
  • Phone: 321-622-8104
  • Fax:
Mailing address:
  • Phone: 786-614-0688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number25364
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: