Individual provider · Type 1 NPI

Maria Jose Mora Lavalle

Mental Health Counselor · Melbourne, FL

NPI number 1861328445 Active

Practice location

1370 Bedford Dr Ste 102
Melbourne, FL 32940-1993

Call (321) 622-8104 Map

Mailing address

2798 Pembroke Rd
Melbourne, FL 32935-2437

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X28050 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1861328445

Maria Jose Mora Lavalle's National Provider Identifier is 1861328445, issued on Jun 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Aug 10, 2026.