Provider Demographics
NPI:1811196298
Name:MORABITO, BELINDA LEAH
Entity Type:Individual
Prefix:MISS
First Name:BELINDA
Middle Name:LEAH
Last Name:MORABITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 ARCHER WAY
Mailing Address - Street 2:
Mailing Address - City:NIPOMO
Mailing Address - State:CA
Mailing Address - Zip Code:93444-8804
Mailing Address - Country:US
Mailing Address - Phone:805-260-0564
Mailing Address - Fax:
Practice Address - Street 1:237 ARCHER WAY
Practice Address - Street 2:
Practice Address - City:NIPOMO
Practice Address - State:CA
Practice Address - Zip Code:93444-8804
Practice Address - Country:US
Practice Address - Phone:805-931-0212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)