Provider Demographics
NPI:1841911120
Name:MORALES, OSMAIDA (CBHCMS)
Entity type:Individual
Prefix:
First Name:OSMAIDA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9338 SW 143RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8002
Mailing Address - Country:US
Mailing Address - Phone:786-343-8965
Mailing Address - Fax:
Practice Address - Street 1:9338 SW 143RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8002
Practice Address - Country:US
Practice Address - Phone:786-343-8965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FLCBHCMS.0102543104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCBHCMS.0102543OtherFLORIDA CERTIFICATION BOARD