Provider Demographics
NPI:1760874614
Name:MORALES, ELENA JULIA (LMHC)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:JULIA
Last Name:MORALES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 US ROUTE 9W
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-6756
Mailing Address - Country:US
Mailing Address - Phone:845-562-9816
Mailing Address - Fax:845-863-0351
Practice Address - Street 1:21 LAUREL AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1469
Practice Address - Country:US
Practice Address - Phone:845-551-2323
Practice Address - Fax:845-458-4559
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006351101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health