Provider Demographics
NPI:1063578144
Name:ANN L. MORROW, MA LPCC PC
Entity type:Organization
Organization Name:ANN L. MORROW, MA LPCC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:505-890-9552
Mailing Address - Street 1:PO BOX 2264
Mailing Address - Street 2:
Mailing Address - City:CORRALES
Mailing Address - State:NM
Mailing Address - Zip Code:87048-2264
Mailing Address - Country:US
Mailing Address - Phone:505-890-9552
Mailing Address - Fax:505-890-5652
Practice Address - Street 1:3824 CORRALES RD
Practice Address - Street 2:
Practice Address - City:CORRALES
Practice Address - State:NM
Practice Address - Zip Code:87048-9306
Practice Address - Country:US
Practice Address - Phone:505-890-9552
Practice Address - Fax:505-890-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-31
Last Update Date:2009-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2601251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMD2448Medicaid
NM74932Medicaid