MEDICARE: DANA LIBERTY MORALES NEW BEGINNING HYPNOTHERAPY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	107008	OTHER	TX	LCSW LICENSE

General Provider Information

NPI Number	:	1144937848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANA LIBERTY MORALES NEW BEGINNING HYPNOTHERAPY

Provider Business Mailing Address
First Line	:	3012 OLD HOUSTON RD
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-6853
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3012 OLD HOUSTON RD
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-6853
Country	:	US
Telephone Number	:	832-622-2258
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DANA LIBERTY MORALES
Credential	:	LCSW
Telephone Number	:	832-622-2258

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	11/03/2022

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Directions to “DANA LIBERTY MORALES NEW BEGINNING HYPNOTHERAPY ” Practice Location

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