MEDICARE: ANABEL LUCIO MORALES MS, 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	101YP1600X	Pastoral Counselor	73150	TX
2	101YP2500X	Professional Counselor	73150	TX
3	101YM0800X	Mental Health Counselor	73150	TX

General Provider Information

NPI Number	:	1669826939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANABEL LUCIO MORALES MS, LPC

Provider Business Mailing Address
First Line	:	2730 INTREPID TRL
Second Line	:
City	:	ROSENBERG
State	:	TX
Zip	:	77471-6319
Country	:	US
Telephone Number	:	832-483-8465
Fax Number	:

Provider Business Practice Location Address
First Line	:	2116 THOMPSON RD STE 102
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5415
Country	:	US
Telephone Number	:	832-278-7249
Fax Number	:

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

Provider Enumeration Date	:	04/22/2016
Last Update Date	:	12/11/2024

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