Provider Demographics
NPI:1760930531
Name:MORALES, BEATRIZ (LPC, LMHC-S)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:LPC, LMHC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 KENMORE AVE APT 407
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1210
Mailing Address - Country:US
Mailing Address - Phone:305-322-3442
Mailing Address - Fax:
Practice Address - Street 1:4701 KENMORE AVE APT 407
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1210
Practice Address - Country:US
Practice Address - Phone:305-322-3442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17031101YM0800X
VA0701011798101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health