Provider Demographics
NPI:1184859035
Name:RICHARD D MORRIS, LLC
Entity Type:Organization
Organization Name:RICHARD D MORRIS, LLC
Other - Org Name:FAMILY & ADOLESCENT COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER/LICENSED MENTAL HEA
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-213-5379
Mailing Address - Street 1:1301 SEMINOLE BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-8173
Mailing Address - Country:US
Mailing Address - Phone:727-213-5379
Mailing Address - Fax:727-213-5370
Practice Address - Street 1:1301 SEMINOLE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-8173
Practice Address - Country:US
Practice Address - Phone:727-213-5379
Practice Address - Fax:727-213-5370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty