Provider Demographics
NPI:1114745460
Name:ERIN C MORALES LLC
Entity type:Organization
Organization Name:ERIN C MORALES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CANUTESON-MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:941-962-6702
Mailing Address - Street 1:9002 HERITAGE INLET PLACE
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-6315
Mailing Address - Country:US
Mailing Address - Phone:941-962-6702
Mailing Address - Fax:941-794-0098
Practice Address - Street 1:9002 HERITAGE INLET PLACE
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34212-6315
Practice Address - Country:US
Practice Address - Phone:941-962-6702
Practice Address - Fax:941-794-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty