Provider Demographics
NPI:1215404678
Name:MORRIS, HALI NICOLE (LPCA)
Entity Type:Individual
Prefix:
First Name:HALI
Middle Name:NICOLE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9433 MCCAMISH RD
Mailing Address - Street 2:
Mailing Address - City:WHITESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42378-9302
Mailing Address - Country:US
Mailing Address - Phone:270-993-9571
Mailing Address - Fax:
Practice Address - Street 1:1326 W 9TH ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-2028
Practice Address - Country:US
Practice Address - Phone:270-240-1076
Practice Address - Fax:270-240-2154
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY239761101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional