Provider Demographics
NPI:1710666169
Name:MORALES, DAWN SCOTT (LPC (TEXAS))
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:SCOTT
Last Name:MORALES
Suffix:
Gender:F
Credentials:LPC (TEXAS)
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:LELEISE
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4655 ESPADA GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3337
Mailing Address - Country:US
Mailing Address - Phone:956-371-1007
Mailing Address - Fax:
Practice Address - Street 1:4655 ESPADA GRANDE AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3337
Practice Address - Country:US
Practice Address - Phone:956-371-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78341101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor