Provider Demographics
NPI:1598337586
Name:MORRIS, BIANCA JOLIE
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:JOLIE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23733 BURBANK BLVD APT 114
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4011
Mailing Address - Country:US
Mailing Address - Phone:818-914-9320
Mailing Address - Fax:
Practice Address - Street 1:5550 TOPANGA CANYON BLVD STE 150
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-7413
Practice Address - Country:US
Practice Address - Phone:818-912-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-11
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health