Provider Demographics
NPI:1629473582
Name:LASSO, CATALINA (LMHC)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:LASSO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6718 LAKE NONA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7982
Mailing Address - Country:US
Mailing Address - Phone:833-769-3524
Mailing Address - Fax:321-418-8926
Practice Address - Street 1:6718 LAKE NONA BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7982
Practice Address - Country:US
Practice Address - Phone:833-769-3524
Practice Address - Fax:321-418-8926
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14362101YM0800X, 101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health