Provider Demographics
NPI:1972226983
Name:MORALES, ANA ALYSSA (LPC-A)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:ALYSSA
Last Name:MORALES
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:ALYSSA
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3833 S STAPLES ST STE S203
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5228
Mailing Address - Country:US
Mailing Address - Phone:361-852-9665
Mailing Address - Fax:
Practice Address - Street 1:3833 S STAPLES ST STE S203
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5228
Practice Address - Country:US
Practice Address - Phone:361-852-9665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health