Provider Demographics
NPI:1326258914
Name:LIGHTNER-MORRIS, TINA LEIGH (LCPC)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:LEIGH
Last Name:LIGHTNER-MORRIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 FILBERT TER
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-4563
Mailing Address - Country:US
Mailing Address - Phone:301-524-0808
Mailing Address - Fax:
Practice Address - Street 1:UNITY CHRIST CHURCH
Practice Address - Street 2:111 CENTRAL AVENUE
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877
Practice Address - Country:US
Practice Address - Phone:301-524-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1671101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral