Provider Demographics
NPI:1104331545
Name:MORALES, VANESA (LMHC, NCSP)
Entity type:Individual
Prefix:
First Name:VANESA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:LMHC, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 WEEDEN ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-1532
Mailing Address - Country:US
Mailing Address - Phone:401-258-0581
Mailing Address - Fax:
Practice Address - Street 1:834 WEEDEN ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-1532
Practice Address - Country:US
Practice Address - Phone:401-258-0581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-07
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01008101YM0800X
RI71261103TS0200X
MDLC16439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool