Provider Demographics
NPI:1568810075
Name:MORRIS, NATALIA (BA)
Entity Type:Individual
Prefix:MRS
First Name:NATALIA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:22762 NIGHTHAWK DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1390
Mailing Address - Country:US
Mailing Address - Phone:908-656-0915
Mailing Address - Fax:
Practice Address - Street 1:26429 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-2464
Practice Address - Country:US
Practice Address - Phone:734-713-9211
Practice Address - Fax:734-728-3554
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor