Provider Demographics
NPI:1912227901
Name:MORROW, TANA PHILLIPS (MA, LPC, NCC, NCSC)
Entity Type:Individual
Prefix:MS
First Name:TANA
Middle Name:PHILLIPS
Last Name:MORROW
Suffix:
Gender:F
Credentials:MA, LPC, NCC, NCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 CHAMPION MT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:NC
Mailing Address - Zip Code:28624-9117
Mailing Address - Country:US
Mailing Address - Phone:336-973-3780
Mailing Address - Fax:336-973-7099
Practice Address - Street 1:532 CHAMPION MT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:NC
Practice Address - Zip Code:28624-9117
Practice Address - Country:US
Practice Address - Phone:336-973-3780
Practice Address - Fax:336-973-7099
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3703101YP2500X
NC0463101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional