Provider Demographics
NPI:1801435060
Name:POSTON, MORRIS VANDERBILT JR
Entity type:Individual
Prefix:MR
First Name:MORRIS
Middle Name:VANDERBILT
Last Name:POSTON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2985 CAITLYNN DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-8209
Mailing Address - Country:US
Mailing Address - Phone:803-464-6299
Mailing Address - Fax:
Practice Address - Street 1:2985 CAITLYNN DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-8209
Practice Address - Country:US
Practice Address - Phone:803-464-6299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-04
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007632101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty