MEDICARE: GABRAEL MORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	171400000X	Health & Wellness Coach	OH
2	171M00000X	Case Manager/Care Coordinator	OH
3	172V00000X	Community Health Worker	OH

General Provider Information

NPI Number	:	1588529762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRAEL MORRIS

Provider Business Mailing Address
First Line	:	2915 LUDLOW RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 LUDLOW RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2308
Country	:	US
Telephone Number	:	910-470-8738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ GABRAEL MORRIS ” Practice Location

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