Provider Demographics
NPI:1982305165
Name:MORRIS, ALLIE CHRISTIANA
Entity Type:Individual
Prefix:MRS
First Name:ALLIE
Middle Name:CHRISTIANA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ALLIE
Other - Middle Name:CHRISTIANA
Other - Last Name:MCKOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6199 GREENHAVEN DR APT D
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-1648
Mailing Address - Country:US
Mailing Address - Phone:916-410-9682
Mailing Address - Fax:
Practice Address - Street 1:500 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-2350
Practice Address - Country:US
Practice Address - Phone:916-410-9682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT136814106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist