MEDICARE: NANCY MORALES LPC, ATR-BC

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	005992	GA

General Provider Information

NPI Number	:	1841957222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY MORALES LPC, ATR-BC

Provider Business Mailing Address
First Line	:	195 PEARL ST SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-1257
Country	:	US
Telephone Number	:	404-661-7099
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 CARROLL ST SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-2306
Country	:	US
Telephone Number	:	404-846-4683
Fax Number	:

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

Provider Enumeration Date	:	11/20/2021
Last Update Date	:	01/18/2026

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