Provider Demographics
NPI:1922888080
Name:MORRIS, WENDY (QMHP, DSP)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:QMHP, DSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 RINGGOLD INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-5548
Mailing Address - Country:US
Mailing Address - Phone:434-770-7987
Mailing Address - Fax:434-204-3165
Practice Address - Street 1:300 RINGGOLD INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-5548
Practice Address - Country:US
Practice Address - Phone:434-770-7987
Practice Address - Fax:434-204-3165
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA8793-03-011253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care