Provider Demographics
NPI:1649879131
Name:PORTER-MORRIS, LAURA ELAINE (MS, LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELAINE
Last Name:PORTER-MORRIS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PAYTON CT
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-1888
Mailing Address - Country:US
Mailing Address - Phone:334-414-7448
Mailing Address - Fax:
Practice Address - Street 1:30 PAYTON CT
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-1888
Practice Address - Country:US
Practice Address - Phone:334-414-7448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health