Provider Demographics
NPI:1962065748
Name:MORALES, ALEXANDRA NICOLE (BSI)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NICOLE
Last Name:MORALES
Suffix:
Gender:F
Credentials:BSI
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:N
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSI
Mailing Address - Street 1:7401 KALANI ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-5602
Mailing Address - Country:US
Mailing Address - Phone:407-574-0441
Mailing Address - Fax:
Practice Address - Street 1:7401 KALANI ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5602
Practice Address - Country:US
Practice Address - Phone:407-574-0441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor