Provider Demographics
NPI:1023580651
Name:HARRIS, MORGAN HENLEY (LPC, RPT, NCC, BCTMH)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:HENLEY
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC, RPT, NCC, BCTMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 KEYWAY DR STE C
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-8825
Mailing Address - Country:US
Mailing Address - Phone:601-272-8787
Mailing Address - Fax:
Practice Address - Street 1:344 KEYWAY DR STE C
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8825
Practice Address - Country:US
Practice Address - Phone:601-272-8787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-20
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2341101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional