Provider Demographics
NPI:1629842349
Name:BRICKER MORRIS VANCE COUNSELING
Entity Type:Organization
Organization Name:BRICKER MORRIS VANCE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-681-2467
Mailing Address - Street 1:145 GREENWOOD AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1325
Mailing Address - Country:US
Mailing Address - Phone:484-681-2467
Mailing Address - Fax:
Practice Address - Street 1:145 GREENWOOD AVE STE 400
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1325
Practice Address - Country:US
Practice Address - Phone:484-681-2467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty