Provider Demographics
NPI:1770839896
Name:MORRIS, TERENCE F (LICDC, LSW)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:F
Last Name:MORRIS
Suffix:
Gender:M
Credentials:LICDC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 PROFESSOR AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4467
Mailing Address - Country:US
Mailing Address - Phone:216-781-0288
Mailing Address - Fax:216-781-6270
Practice Address - Street 1:2270 PROFESSOR AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-4467
Practice Address - Country:US
Practice Address - Phone:216-781-0288
Practice Address - Fax:216-781-6270
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH872406101YA0400X
OH0016732104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker