Provider Demographics
NPI:1932946175
Name:MORALES, ANALISA LORRAINE
Entity type:Individual
Prefix:
First Name:ANALISA
Middle Name:LORRAINE
Last Name:MORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 N MELENDRES ST
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2167
Mailing Address - Country:US
Mailing Address - Phone:575-222-5755
Mailing Address - Fax:
Practice Address - Street 1:820 N MELENDRES ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2167
Practice Address - Country:US
Practice Address - Phone:575-222-5755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health