Provider Demographics
NPI:1326463498
Name:MORRIS, PENNY L (LPC)
Entity Type:Individual
Prefix:
First Name:PENNY
Middle Name:L
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 1:807 WILLIAM PENN BLVD
Mailing Address - Street 2:
Mailing Address - City:WOMELSDORF
Mailing Address - State:PA
Mailing Address - Zip Code:19567-1017
Mailing Address - Country:US
Mailing Address - Phone:610-781-0186
Mailing Address - Fax:
Practice Address - Street 1:807 WILLIAM PENN BLVD
Practice Address - Street 2:
Practice Address - City:WOMELSDORF
Practice Address - State:PA
Practice Address - Zip Code:19567-1017
Practice Address - Country:US
Practice Address - Phone:610-781-0186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005966101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional