Provider Demographics
NPI:1356540363
Name:MORRIS, JANICE N (ACSW)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:N
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 MARTI LN
Mailing Address - Street 2:SUITE 5-C
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-3120
Mailing Address - Country:US
Mailing Address - Phone:334-281-9668
Mailing Address - Fax:334-281-9668
Practice Address - Street 1:2921 MARTI LN
Practice Address - Street 2:SUITE 5-C
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-3120
Practice Address - Country:US
Practice Address - Phone:334-281-9668
Practice Address - Fax:334-281-9668
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker