Provider Demographics
NPI:1750671236
Name:MORRISON, ROY BENJAMIN (MED LPC)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:BENJAMIN
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 E SOUTH 11TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-4292
Mailing Address - Country:US
Mailing Address - Phone:325-690-1313
Mailing Address - Fax:325-690-1323
Practice Address - Street 1:1215 E SOUTH 11TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-4292
Practice Address - Country:US
Practice Address - Phone:325-690-1313
Practice Address - Fax:325-690-1323
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health