Healthcare Provider Details

I. General information

NPI: 1033468350
Provider Name (Legal Business Name): MERCEYDES MORASSI MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2012
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3451 NE 14TH TER
POMPANO BEACH FL
33064-6224
US

IV. Provider business mailing address

3451 NE 14TH TER
POMPANO BEACH FL
33064-6224
US

V. Phone/Fax

Practice location:
  • Phone: 949-614-3476
  • Fax:
Mailing address:
  • Phone: 949-614-3476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-16970
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC3246
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP6230R
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-16970
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH11783
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: