Provider Demographics
NPI:1518381623
Name:MORRISON, EMILY MICHELLE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MICHELLE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13714 E DIANE DR
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:MI
Mailing Address - Zip Code:49232-9523
Mailing Address - Country:US
Mailing Address - Phone:517-254-4556
Mailing Address - Fax:
Practice Address - Street 1:13714 E DIANE DR
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:MI
Practice Address - Zip Code:49232-9523
Practice Address - Country:US
Practice Address - Phone:517-254-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional