Provider Demographics
NPI:1245102987
Name:MORALES COLON, NORAIDA SANDRA
Entity type:Individual
Prefix:
First Name:NORAIDA
Middle Name:SANDRA
Last Name:MORALES COLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 MAIN ST # 1234
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1723
Mailing Address - Country:US
Mailing Address - Phone:978-790-8799
Mailing Address - Fax:
Practice Address - Street 1:370 MAIN ST # 1234
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1723
Practice Address - Country:US
Practice Address - Phone:978-790-8799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)