Provider Demographics
NPI:1427400837
Name:MORALES, NATASHA IRENE (AA)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:IRENE
Last Name:MORALES
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 RESERVE CIR
Mailing Address - Street 2:APT 100
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8978
Mailing Address - Country:US
Mailing Address - Phone:561-603-6281
Mailing Address - Fax:
Practice Address - Street 1:172 RESERVE CIR
Practice Address - Street 2:APT 100
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8978
Practice Address - Country:US
Practice Address - Phone:561-603-6281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor