Provider Demographics
NPI:1790261519
Name:MORRIS HEALING AND WELLNESS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:MORRIS HEALING AND WELLNESS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KANDI
Authorized Official - Middle Name:ALLYN
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, LADC
Authorized Official - Phone:405-269-7431
Mailing Address - Street 1:324 S HUSBAND ST STE 109
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-3536
Mailing Address - Country:US
Mailing Address - Phone:405-269-7431
Mailing Address - Fax:
Practice Address - Street 1:324 S HUSBAND ST STE 109
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-3536
Practice Address - Country:US
Practice Address - Phone:405-269-7431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-15
Last Update Date:2018-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6584251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health