Provider Demographics
NPI:1003483389
Name:MORRISON, AMY LAUREN (LCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LAUREN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E 2ND ST STE 401
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-4118
Mailing Address - Country:US
Mailing Address - Phone:270-240-1785
Mailing Address - Fax:
Practice Address - Street 1:121 E 2ND ST STE 401
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-4118
Practice Address - Country:US
Practice Address - Phone:270-240-1785
Practice Address - Fax:270-240-1861
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2556351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical