Provider Demographics
NPI:1073151775
Name:MORELLI, WHITNEY ROSE (MT-BC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ROSE
Last Name:MORELLI
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 BRANARD ST APT 4
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1810
Mailing Address - Country:US
Mailing Address - Phone:804-895-3114
Mailing Address - Fax:
Practice Address - Street 1:4830 WILSON RD # 189
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-1971
Practice Address - Country:US
Practice Address - Phone:832-481-3871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist