Provider Demographics
NPI:1609223882
Name:MORRISON, SANDY FOSTER (LPC)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:FOSTER
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 SEMINOLE TRL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2824
Mailing Address - Country:US
Mailing Address - Phone:434-906-9697
Mailing Address - Fax:
Practice Address - Street 1:1602 ROSE HILL DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-1332
Practice Address - Country:US
Practice Address - Phone:434-270-0432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
VA0701006549101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor