MEDICARE: MORIEA CONSULTANTS LLC

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

General Provider Information

NPI Number	:	1518819655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORIEA CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	154 RAINBOW WAY UNIT 122
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-3994
Country	:	US
Telephone Number	:	470-571-2770
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 RAINBOW WAY UNIT 122
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-3994
Country	:	US
Telephone Number	:	470-571-2770
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIORAL HEALTHCARE CONSULTANT
Name	:	MRS. CHARLOTTE MORIEA LURCH-WINSTON
Credential	:	LCSW, CCM
Telephone Number	:	470-571-2770

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “MORIEA CONSULTANTS LLC ” Practice Location

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