Healthcare Provider Details

I. General information

NPI: 1346169893
Provider Name (Legal Business Name): KHUSHI CHETAN MORAWALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 LARCH ST
SCRANTON PA
18509-2802
US

IV. Provider business mailing address

305 HARRISON AVE APT 3
SCRANTON PA
18510-2531
US

V. Phone/Fax

Practice location:
  • Phone: 570-489-5561
  • Fax:
Mailing address:
  • Phone: 272-235-9082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: