Provider Demographics
NPI:1225386683
Name:MORRIS, LAURA A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 COLONNADE DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3557
Mailing Address - Country:US
Mailing Address - Phone:540-989-1703
Mailing Address - Fax:540-989-1705
Practice Address - Street 1:2965 COLONNADE DR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3557
Practice Address - Country:US
Practice Address - Phone:540-989-1703
Practice Address - Fax:540-989-1705
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904007509101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health