Provider Demographics
NPI:1043618093
Name:MORRIS-VON KAMPEN, CARLA
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:MORRIS-VON KAMPEN
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 1:910 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-5044
Mailing Address - Country:US
Mailing Address - Phone:402-844-0846
Mailing Address - Fax:402-644-4593
Practice Address - Street 1:1909 VICKI LN STE 107
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4542
Practice Address - Country:US
Practice Address - Phone:402-844-0846
Practice Address - Fax:402-644-4593
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator