Provider Demographics
NPI:1629218169
Name:MORRISON, WINSTON ALLEN JR (LPC-S)
Entity Type:Individual
Prefix:
First Name:WINSTON
Middle Name:ALLEN
Last Name:MORRISON
Suffix:JR
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 TAMARIND ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-4836
Mailing Address - Country:US
Mailing Address - Phone:501-482-5970
Mailing Address - Fax:870-754-2554
Practice Address - Street 1:701 N WALNUT ST STE B
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601
Practice Address - Country:US
Practice Address - Phone:015-482-5970
Practice Address - Fax:870-754-2554
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1101088101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health