Provider Demographics
NPI:1326356486
Name:DUMORNAY, CECILE MARIE (LMFT, CAP)
Entity Type:Individual
Prefix:
First Name:CECILE
Middle Name:MARIE
Last Name:DUMORNAY
Suffix:
Gender:F
Credentials:LMFT, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2127
Mailing Address - Country:US
Mailing Address - Phone:954-554-9201
Mailing Address - Fax:
Practice Address - Street 1:6509 FLAGLER ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-2127
Practice Address - Country:US
Practice Address - Phone:954-554-9201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMFT 1196106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist