Provider Demographics
NPI:1568471381
Name:MOREY, MISHA LYNN (MA)
Entity Type:Individual
Prefix:MS
First Name:MISHA
Middle Name:LYNN
Last Name:MOREY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ASHLAND ST
Mailing Address - Street 2:UNIT 1R
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2554
Mailing Address - Country:US
Mailing Address - Phone:508-754-8259
Mailing Address - Fax:
Practice Address - Street 1:68 JAQUES AVE
Practice Address - Street 2:OUTPATIENT SUBSTANCE ABUSE SERVICES, #543
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-2476
Practice Address - Country:US
Practice Address - Phone:508-860-1014
Practice Address - Fax:508-421-4362
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor