Provider Demographics
NPI:1295310829
Name:MORRIS, SANDRA G (LPC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:G
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 S MCCAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336-2216
Mailing Address - Country:US
Mailing Address - Phone:512-909-1000
Mailing Address - Fax:
Practice Address - Street 1:1314 S MCCAMPBELL ST
Practice Address - Street 2:
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336-2216
Practice Address - Country:US
Practice Address - Phone:512-909-1000
Practice Address - Fax:361-201-9306
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82579101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor