Provider Demographics
NPI:1912259482
Name:MORRIS, CHRISTINE ANGELA (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANGELA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SCHOLAR CT
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-2541
Mailing Address - Country:US
Mailing Address - Phone:631-786-0452
Mailing Address - Fax:
Practice Address - Street 1:6 SCHOLAR CT
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-2541
Practice Address - Country:US
Practice Address - Phone:631-786-0452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health