Provider Demographics
NPI:1255865572
Name:MORRIS, LARISSA (LPC)
Entity Type:Individual
Prefix:
First Name:LARISSA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7214 HIGHWAY 78 STE 5
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2532
Mailing Address - Country:US
Mailing Address - Phone:214-208-4807
Mailing Address - Fax:
Practice Address - Street 1:7214 HIGHWAY 78 STE 5
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-2532
Practice Address - Country:US
Practice Address - Phone:214-208-4807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20154101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional