Provider Demographics
NPI:1780084699
Name:MORRIS, DONNICIA (LPC, LBSW, LCCA)
Entity type:Individual
Prefix:MRS
First Name:DONNICIA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LPC, LBSW, LCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13063
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-3063
Mailing Address - Country:US
Mailing Address - Phone:409-658-1336
Mailing Address - Fax:
Practice Address - Street 1:7870 WEAVER DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-5352
Practice Address - Country:US
Practice Address - Phone:409-658-1336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68720101YP2500X
TX56983104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker