Provider Demographics
NPI:1477698033
Name:MORROW, CHELSEA LAREE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LAREE
Last Name:MORROW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:LAREE
Other - Last Name:EZELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1200 CIRCLE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-8112
Mailing Address - Country:US
Mailing Address - Phone:806-223-8346
Mailing Address - Fax:
Practice Address - Street 1:1200 CIRCLE DR STE 101
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-8112
Practice Address - Country:US
Practice Address - Phone:806-223-8346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61314101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183169501Medicaid
TX196260701Medicaid
TX89292LOtherBCBS