MEDICARE: MRS. CHELSEA LAREE MORROW LPC

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	101YP2500X	Professional Counselor	61314	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	89292L	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1477698033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHELSEA LAREE MORROW LPC

Provider Business Mailing Address
First Line	:	1200 CIRCLE DR STE 101
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-8112
Country	:	US
Telephone Number	:	806-223-8346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 CIRCLE DR STE 101
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-8112
Country	:	US
Telephone Number	:	806-223-8346
Fax Number	:

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	01/06/2011

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