Provider Demographics
NPI:1003638263
Name:MORRIS, MARLENE (CHW, CD)
Entity type:Individual
Prefix:
First Name:MARLENE
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CHW, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3389 FULTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1463
Mailing Address - Country:US
Mailing Address - Phone:216-584-5683
Mailing Address - Fax:
Practice Address - Street 1:3389 FULTON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1463
Practice Address - Country:US
Practice Address - Phone:216-584-5683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDOU00018374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula