Provider Demographics
NPI:1609082429
Name:MORROW, KENNETH BRENT (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:BRENT
Last Name:MORROW
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 MEADOWVIEW CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-5063
Mailing Address - Country:US
Mailing Address - Phone:423-914-0100
Mailing Address - Fax:
Practice Address - Street 1:739 MEADOWVIEW CT
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-5063
Practice Address - Country:US
Practice Address - Phone:423-914-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN031106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist