Provider Demographics
NPI:1205287133
Name:MORRIS, RITA LOUISE (LLPC)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:LOUISE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:LOUISE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLPC
Mailing Address - Street 1:2150 STONE SCHOOL CIR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2353
Mailing Address - Country:US
Mailing Address - Phone:734-502-8880
Mailing Address - Fax:
Practice Address - Street 1:1900 W STADIUM BLVD STE 2
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-7008
Practice Address - Country:US
Practice Address - Phone:734-719-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health