Provider Demographics
NPI:1518457464
Name:MORELLI, ANTHONY MIDDLE JR
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:MIDDLE
Last Name:MORELLI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1347
Mailing Address - Country:US
Mailing Address - Phone:908-619-0947
Mailing Address - Fax:
Practice Address - Street 1:590 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-2629
Practice Address - Country:US
Practice Address - Phone:908-387-0003
Practice Address - Fax:908-387-0005
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)