Provider Demographics
NPI:1588233183
Name:MORWAY, CHLOE NICOLE
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:NICOLE
Last Name:MORWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 CHATHAM VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-8382
Mailing Address - Country:US
Mailing Address - Phone:904-910-0204
Mailing Address - Fax:
Practice Address - Street 1:1871 CHATHAM VILLAGE DR
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-8382
Practice Address - Country:US
Practice Address - Phone:904-910-0204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician