Provider Demographics
NPI:1649615949
Name:MORRIS, AMY LINN (CAP, MS, CRPS)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LINN
Last Name:MORRIS
Suffix:
Gender:
Credentials:CAP, MS, CRPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 TALWOOD CIR APT D
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-3601
Mailing Address - Country:US
Mailing Address - Phone:813-410-2887
Mailing Address - Fax:
Practice Address - Street 1:630 TALWOOD CIR APT D
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-3601
Practice Address - Country:US
Practice Address - Phone:813-410-2887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
FLCAP.0100402101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical