Provider Demographics
NPI:1811661036
Name:MORRELL, DYLAN ANTHONY (LPC)
Entity type:Individual
Prefix:MR
First Name:DYLAN
Middle Name:ANTHONY
Last Name:MORRELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 W CHESTNUT ST STE 205
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4661
Mailing Address - Country:US
Mailing Address - Phone:724-225-6940
Mailing Address - Fax:724-225-6811
Practice Address - Street 1:378 W CHESTNUT ST STE 205
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4661
Practice Address - Country:US
Practice Address - Phone:724-225-6940
Practice Address - Fax:724-225-6811
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013574101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional