Provider Demographics
NPI:1326286600
Name:MORRISON, SUSAN SEVIER (MED, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:SEVIER
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:AVER
Other - Last Name:SEVIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, NCC, PLMHT
Mailing Address - Street 1:819 W 21ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1539
Mailing Address - Country:US
Mailing Address - Phone:579-250-2227
Mailing Address - Fax:757-925-1414
Practice Address - Street 1:819 W 21ST ST STE 101A
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1539
Practice Address - Country:US
Practice Address - Phone:757-925-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005535101YP2500X
MS1520101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional