Provider Demographics
NPI:1184169864
Name:MORROW-BRADLEY & ASSOCIATES, PLLC
Entity type:Organization
Organization Name:MORROW-BRADLEY & ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW-BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-290-0083
Mailing Address - Street 1:2444 COMMERCE RD
Mailing Address - Street 2:STE 125
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7560
Mailing Address - Country:US
Mailing Address - Phone:419-290-0083
Mailing Address - Fax:910-346-4418
Practice Address - Street 1:2444 COMMERCE RD
Practice Address - Street 2:STE 125
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7560
Practice Address - Country:US
Practice Address - Phone:419-290-0083
Practice Address - Fax:910-346-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty