Provider Demographics
NPI:1275774424
Name:AIMEE MORRIS COUNSELING PC
Entity Type:Organization
Organization Name:AIMEE MORRIS COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT
Authorized Official - Phone:903-939-2287
Mailing Address - Street 1:7524 S BROADWAY AVE
Mailing Address - Street 2:SUITE 117
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-5007
Mailing Address - Country:US
Mailing Address - Phone:903-939-2287
Mailing Address - Fax:903-939-2938
Practice Address - Street 1:7524 S BROADWAY AVE
Practice Address - Street 2:SUITE 117
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-5007
Practice Address - Country:US
Practice Address - Phone:903-939-2287
Practice Address - Fax:903-939-2938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13460101YP2500X
TX4677106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty