Provider Demographics
NPI:1184310385
Name:MORCATE SOTO, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MORCATE SOTO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 NE 22ND TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-4731
Mailing Address - Country:US
Mailing Address - Phone:305-773-8099
Mailing Address - Fax:
Practice Address - Street 1:1408 SE 17TH AVE STE E
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3801
Practice Address - Country:US
Practice Address - Phone:239-360-7963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician