Provider Demographics
NPI:1043683790
Name:MORAN, SENA (LMHC, CRC)
Entity type:Individual
Prefix:
First Name:SENA
Middle Name:
Last Name:MORAN
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 LEO LN APT 3E
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-7501
Mailing Address - Country:US
Mailing Address - Phone:561-801-2856
Mailing Address - Fax:
Practice Address - Street 1:4216 LEO LN APT 3E
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-7501
Practice Address - Country:US
Practice Address - Phone:561-801-2856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 13067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health