Provider Demographics
NPI:1275199762
Name:MORRIS, ANITA KAY (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:KAY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8651 JOHN J KINGMAN RD BLDG 2321
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-6200
Mailing Address - Country:US
Mailing Address - Phone:850-495-9560
Mailing Address - Fax:
Practice Address - Street 1:5270 SHAWNEE RD STE 200
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2378
Practice Address - Country:US
Practice Address - Phone:850-495-9560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-10
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3666106H00000X
VA0717001985106H00000X
CALMFT107979106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0717001985OtherPROFESSIONAL LICENSE
FLMT3666OtherPROFESSIONAL LICENSE
CALMFT107979OtherPROFESSIONAL LICENSE