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General NPI Number Information
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NPI Number | 1376057026
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Entity Type | Organization
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Legal Business Name | ALEXA MORALES LCSW LLC
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 8990 LORRAINE RD
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City | GULFPORT
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State | MS
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Zip | 39503-4176
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Country | US
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Telephone | 228-331-3310
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Fax | 228-284-1608
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Provider Business Mailing Address
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Address Line | 15526 OLD MAGNOLIA CT
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City | GULFPORT
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State | MS
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Zip | 39503-9081
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Country | US
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Telephone | 228-806-9951
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | ALEXA MORALES
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Credential | LCSW
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Telephone | 228-806-9951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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