| Alexa Morales Lcsw Llc | |
|
8990 Lorraine Rd Gulfport MS 39503-4176 | |
| (228) 331-3310 | |
| (228) 284-1608 |
| Full Name | Alexa Morales Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8990 Lorraine Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Alexa Morales (SOCIAL WORKER) |
| Authorized Official Contact | 2283313310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Morales Lcsw Llc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 | Alexa Morales Lcsw Llc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 |
| NPI Number | 1376057026 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 11/16/2017 |
| Medicare PECOS PAC ID | 4688936487 |
|---|---|
| Medicare Enrollment ID | O20180314001426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376057026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C7442 (Mississippi) | Primary |
| Provider Name | Alexa Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124294020 PECOS PAC ID: 9335289115 Enrollment ID: I20091230000066 |
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