Provider Demographics
NPI:1740986132
Name:MORRIS, DESTINEE
Entity type:Individual
Prefix:
First Name:DESTINEE
Middle Name:
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:ALABAMA AGRICULTURAL & MECHANICAL UNIVERSITY
Mailing Address - Street 2:DEPT. SOCIAL WORK BHWTP2 GRADUATE STUDIES 104 BUCHANAN
Mailing Address - City:NORMAL
Mailing Address - State:AL
Mailing Address - Zip Code:35762
Mailing Address - Country:US
Mailing Address - Phone:520-582-4953
Mailing Address - Fax:
Practice Address - Street 1:4116 NEWSON RD SW APT 159
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-6314
Practice Address - Country:US
Practice Address - Phone:520-582-4953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker