Provider Demographics
NPI:1326921081
Name:MORELAND, MARCUS ANDRE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:ANDRE
Last Name:MORELAND
Suffix:
Gender:M
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5066
Mailing Address - Country:US
Mailing Address - Phone:469-337-2951
Mailing Address - Fax:
Practice Address - Street 1:100 N CENTRAL EXPY STE 310
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5310
Practice Address - Country:US
Practice Address - Phone:682-231-3213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92996101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional