Provider Demographics
NPI:1215538616
Name:JENNIFER MORSE, M.A., LPC, PLLC
Entity Type:Organization
Organization Name:JENNIFER MORSE, M.A., LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:806-983-6731
Mailing Address - Street 1:7511 102ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-6883
Mailing Address - Country:US
Mailing Address - Phone:806-983-6731
Mailing Address - Fax:
Practice Address - Street 1:6402 98TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-9703
Practice Address - Country:US
Practice Address - Phone:806-983-6731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX393083601Medicaid