Provider Demographics
NPI:1952813875
Name:MORALES, GUILLERMO FELIX
Entity Type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:FELIX
Last Name:MORALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8625 NW 8TH ST APT 320
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5909
Mailing Address - Country:US
Mailing Address - Phone:786-655-1131
Mailing Address - Fax:
Practice Address - Street 1:8625 NW 8TH ST APT 320
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5909
Practice Address - Country:US
Practice Address - Phone:786-655-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health