Provider Demographics
NPI:1114253150
Name:MORAN, ALICIA MAE (LPCC, LPC, LMHC)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:MAE
Last Name:MORAN
Suffix:
Gender:F
Credentials:LPCC, LPC, LMHC
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:MAE
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC, LPC, LMHC
Mailing Address - Street 1:4010 IMPASSE LN
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-8869
Mailing Address - Country:US
Mailing Address - Phone:606-934-1061
Mailing Address - Fax:
Practice Address - Street 1:4010 IMPASSE LN
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-8869
Practice Address - Country:US
Practice Address - Phone:606-934-1061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC200001819101YP2500X
VA0701013848101YP2500X
NC20927101YP2500X
FLMH22068101YP2500X
OHE-800517101YP2500X
SC8815101YP2500X
AZLPC-22180101YP2500X
GALPC015239101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional