Provider Demographics
NPI:1366027864
Name:MORRISON, RANDALL NICOLE (PLPC)
Entity Type:Individual
Prefix:
First Name:RANDALL
Middle Name:NICOLE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 CANAL ST STE 4
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6448
Mailing Address - Country:US
Mailing Address - Phone:504-521-2232
Mailing Address - Fax:
Practice Address - Street 1:2640 CANAL ST STE 4
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6448
Practice Address - Country:US
Practice Address - Phone:504-521-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8474101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor