Provider Demographics
NPI:1104657220
Name:MORALES, ANITA FELIPA (LPCA)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:FELIPA
Last Name:MORALES
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-6625
Mailing Address - Country:US
Mailing Address - Phone:254-760-6730
Mailing Address - Fax:
Practice Address - Street 1:3719 DOGWOOD LN
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-6625
Practice Address - Country:US
Practice Address - Phone:254-760-6730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86003101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional