Provider Demographics
NPI:1407878309
Name:CAPELLUTO, DORA (LMFT; LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DORA
Middle Name:
Last Name:CAPELLUTO
Suffix:
Gender:F
Credentials:LMFT; LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 ORION LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2327
Mailing Address - Country:US
Mailing Address - Phone:954-881-6099
Mailing Address - Fax:954-659-9428
Practice Address - Street 1:1554 ORION LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-2327
Practice Address - Country:US
Practice Address - Phone:954-881-6099
Practice Address - Fax:954-659-9428
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8261101YM0800X
FLMT 1999106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH 8261OtherMENTAL HEALTH COUNSELOR
FLMT 1999OtherLICENSED MARRIAGE AND FAM