Provider Demographics
NPI:1013916907
Name:MORRIS, JUDITH ANN GOING (LCSW, DAPA)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANN GOING
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LCSW, DAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 654
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-0654
Mailing Address - Country:US
Mailing Address - Phone:713-248-5128
Mailing Address - Fax:281-346-2722
Practice Address - Street 1:4330 WARINGTON ST
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-4032
Practice Address - Country:US
Practice Address - Phone:713-248-5128
Practice Address - Fax:281-346-2722
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX019311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX610728Medicare ID - Type Unspecified