Provider Demographics
NPI:1467150946
Name:MOR, CASSIE (MFTI)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:MOR
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 BAY RD APT 1514
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3213
Mailing Address - Country:US
Mailing Address - Phone:305-707-7482
Mailing Address - Fax:
Practice Address - Street 1:1500 BAY RD APT 1514
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3213
Practice Address - Country:US
Practice Address - Phone:305-707-7482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT3562106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist