Provider Demographics
NPI:1114581600
Name:MORELLI, ALEXANDER (LPCC, LMHC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:MORELLI
Suffix:
Gender:M
Credentials:LPCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26856 ADAMS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6948
Mailing Address - Country:US
Mailing Address - Phone:951-223-5652
Mailing Address - Fax:
Practice Address - Street 1:26856 ADAMS AVE STE 200
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6948
Practice Address - Country:US
Practice Address - Phone:951-223-5652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010811101YM0800X
101YM0800X
CA11507101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health