Provider Demographics
NPI:1891464665
Name:DORA CARIO
Entity Type:Organization
Organization Name:DORA CARIO
Other - Org Name:NOURISH WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DORA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARIO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:239-470-4385
Mailing Address - Street 1:1322 SE 46TH LN STE 204
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-8642
Mailing Address - Country:US
Mailing Address - Phone:239-470-4385
Mailing Address - Fax:
Practice Address - Street 1:1322 SE 46TH LN STE 204
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-8642
Practice Address - Country:US
Practice Address - Phone:239-470-4385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty