Provider Demographics
NPI:1871987149
Name:CAYCE, TATIANA (LMFT)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:CAYCE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33537 TERRAGONA DR
Mailing Address - Street 2:
Mailing Address - City:SORRENTO
Mailing Address - State:FL
Mailing Address - Zip Code:32776-6929
Mailing Address - Country:US
Mailing Address - Phone:352-483-1652
Mailing Address - Fax:352-315-7587
Practice Address - Street 1:1217 HUFFSTETLER RD
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-8225
Practice Address - Country:US
Practice Address - Phone:352-483-1652
Practice Address - Fax:352-315-7587
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 3009106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist