Provider Demographics
NPI:1346807799
Name:CUVA, ANDREA (PH D, LMFT, MCAP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:CUVA
Suffix:
Gender:F
Credentials:PH D, LMFT, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3038 N FEDERAL HWY UPPR F2
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1436
Mailing Address - Country:US
Mailing Address - Phone:954-870-0475
Mailing Address - Fax:954-440-3673
Practice Address - Street 1:101 PLAZA REAL S STE 226
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4865
Practice Address - Country:US
Practice Address - Phone:954-870-0475
Practice Address - Fax:954-440-3673
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC-011583-2015101YA0400X
FLMT3089106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)