Provider Demographics
NPI:1164201281
Name:MORRIS, TASHEIA L
Entity Type:Individual
Prefix:MRS
First Name:TASHEIA
Middle Name:L
Last Name:MORRIS
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 1:16428 FOX HUNT DR BLDG 14
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-8919
Mailing Address - Country:US
Mailing Address - Phone:216-804-2233
Mailing Address - Fax:
Practice Address - Street 1:16428 FOX HUNT DR BLDG 14
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-8919
Practice Address - Country:US
Practice Address - Phone:216-804-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRR215559172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver