Provider Demographics
NPI:1881216455
Name:MORRIS, SHURLA (LICSW)
Entity Type:Individual
Prefix:
First Name:SHURLA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SHURLA
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1601 5TH AVE N STE 175
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-1926
Mailing Address - Country:US
Mailing Address - Phone:256-503-9965
Mailing Address - Fax:
Practice Address - Street 1:1601 5TH AVE N STE 175
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-1926
Practice Address - Country:US
Practice Address - Phone:256-503-9965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-17
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4792G104100000X
AL4981C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker