Healthcare Provider Details

I. General information

NPI: 1669826939
Provider Name (Legal Business Name): ANABEL LUCIO MORALES MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 THOMPSON RD STE 102
RICHMOND TX
77469-5415
US

IV. Provider business mailing address

2730 INTREPID TRL
ROSENBERG TX
77471-6319
US

V. Phone/Fax

Practice location:
  • Phone: 832-278-7249
  • Fax:
Mailing address:
  • Phone: 832-483-8465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number73150
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number73150
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number73150
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: