Provider Demographics
NPI:1811739642
Name:MORRIS, BREYONNA LYNN (LPC-R)
Entity type:Individual
Prefix:
First Name:BREYONNA
Middle Name:LYNN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LPC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CLEMWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-1802
Mailing Address - Country:US
Mailing Address - Phone:941-391-1845
Mailing Address - Fax:
Practice Address - Street 1:7465 OLD HICKORY DR STE D
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3621
Practice Address - Country:US
Practice Address - Phone:804-404-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health