Provider Demographics
NPI:1689044737
Name:MORRIS, FLORA JEAN
Entity Type:Individual
Prefix:
First Name:FLORA
Middle Name:JEAN
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 1:4300 JIMMY CARTER BLVD
Mailing Address - Street 2:707
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-5058
Mailing Address - Country:US
Mailing Address - Phone:678-278-5045
Mailing Address - Fax:678-547-0496
Practice Address - Street 1:4300 JIMMY CARTER BLVD
Practice Address - Street 2:707
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-5058
Practice Address - Country:US
Practice Address - Phone:678-278-5045
Practice Address - Fax:678-547-0496
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health