Provider Demographics
NPI:1326182783
Name:MORROW, SUE (LMHC)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 W NEWBERRY RD STE C3
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2380
Mailing Address - Country:US
Mailing Address - Phone:352-317-4381
Mailing Address - Fax:352-692-4733
Practice Address - Street 1:4001 W NEWBERRY RD STE C3
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2380
Practice Address - Country:US
Practice Address - Phone:352-317-4381
Practice Address - Fax:352-692-4733
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0005199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH0005199OtherFLORIDA LICENSE