Provider Demographics
NPI:1689368003
Name:MORRIS, LANA KAY (CADC 00729-C)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:KAY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CADC 00729-C
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:KAY
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1510 STITZEL RD
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-4862
Mailing Address - Country:US
Mailing Address - Phone:177-538-5439
Mailing Address - Fax:
Practice Address - Street 1:1510 STITZEL RD
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-4862
Practice Address - Country:US
Practice Address - Phone:177-538-5439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVC.A.D.C.00728-C101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)