Provider Demographics
NPI:1497155311
Name:MORRIS, ANDREA FOWLER (NCC, LPCA)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:FOWLER
Last Name:MORRIS
Suffix:
Gender:F
Credentials:NCC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-8820
Mailing Address - Country:US
Mailing Address - Phone:252-340-0009
Mailing Address - Fax:
Practice Address - Street 1:150 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944-8820
Practice Address - Country:US
Practice Address - Phone:252-340-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10871101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional