Provider Demographics
NPI:1750541348
Name:MORALES, EVELYN RUTH (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:RUTH
Last Name:MORALES
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 HICKSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9574
Mailing Address - Country:US
Mailing Address - Phone:336-454-2295
Mailing Address - Fax:336-454-0579
Practice Address - Street 1:2009 HICKSWOOD RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9574
Practice Address - Country:US
Practice Address - Phone:336-454-2295
Practice Address - Fax:336-454-0579
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0232101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor