Provider Demographics
NPI:1134441306
Name:MORALES, MICHELLE (LPC)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 RIDGEPOINT DR
Mailing Address - Street 2:APT 1209
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5204
Mailing Address - Country:US
Mailing Address - Phone:512-674-5289
Mailing Address - Fax:
Practice Address - Street 1:2250 RIDGEPOINT DR
Practice Address - Street 2:APT 1209
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5204
Practice Address - Country:US
Practice Address - Phone:512-674-5289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional