Provider Demographics
NPI:1760490155
Name:CAPECE, MICHAEL (LMFT, LMHC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:CAPECE
Suffix:
Gender:M
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 1:2744 SW 14TH DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-2054
Mailing Address - Country:US
Mailing Address - Phone:352-339-2094
Mailing Address - Fax:
Practice Address - Street 1:1208 NW 6TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4245
Practice Address - Country:US
Practice Address - Phone:352-379-2829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL286106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL292OtherLMHC
FL286OtherLMFT