Provider Demographics
NPI:1790843159
Name:MORRISON, SUSAN MORGAN (LMHC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MORGAN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 3RD ST STE 7
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32266-5067
Mailing Address - Country:US
Mailing Address - Phone:904-246-7113
Mailing Address - Fax:904-246-6880
Practice Address - Street 1:1122 3RD ST STE 7
Practice Address - Street 2:
Practice Address - City:NEPTUNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32266-5067
Practice Address - Country:US
Practice Address - Phone:904-246-7113
Practice Address - Fax:904-246-6880
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 0003043101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health