Provider Demographics
NPI:1245651629
Name:MORRIES, AYO (MA, LPC)
Entity type:Individual
Prefix:
First Name:AYO
Middle Name:
Last Name:MORRIES
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23248 LIGNUM RD
Mailing Address - Street 2:
Mailing Address - City:LIGNUM
Mailing Address - State:VA
Mailing Address - Zip Code:22726-1927
Mailing Address - Country:US
Mailing Address - Phone:540-219-6524
Mailing Address - Fax:
Practice Address - Street 1:23248 LIGNUM RD
Practice Address - Street 2:
Practice Address - City:LIGNUM
Practice Address - State:VA
Practice Address - Zip Code:22726-1927
Practice Address - Country:US
Practice Address - Phone:540-219-6524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional