MEDICARE: SYDNEY MORALICE LMFT

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	101YM0800X	Mental Health Counselor	151847	CA

General Provider Information

NPI Number	:	1477266880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY MORALICE LMFT

Provider Business Mailing Address
First Line	:	1560 BROOKHOLLOW DR STE 106
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 BROOKHOLLOW DR STE 106
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5428
Country	:	US
Telephone Number	:	949-331-4926
Fax Number	:

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

Provider Enumeration Date	:	12/30/2022
Last Update Date	:	03/24/2025

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