Provider Demographics
NPI:1013624410
Name:MORRISON, IVY SCARLETT (CD-L)
Entity Type:Individual
Prefix:
First Name:IVY
Middle Name:SCARLETT
Last Name:MORRISON
Suffix:
Gender:F
Credentials:CD-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 STONEWOOD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-9314
Mailing Address - Country:US
Mailing Address - Phone:678-372-5054
Mailing Address - Fax:
Practice Address - Street 1:326 STONEWOOD CREEK DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-9314
Practice Address - Country:US
Practice Address - Phone:678-372-5054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula