Provider Demographics
NPI:1982714523
Name:MORRIS, LAUREN CHRISTINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:CHRISTINE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:CHRISTINE
Other - Last Name:LISCOMBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:8540 BAYCENTER ROAD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256
Mailing Address - Country:US
Mailing Address - Phone:904-448-1933
Mailing Address - Fax:904-394-5783
Practice Address - Street 1:4072 SUNBEAM ROAD
Practice Address - Street 2:SAN JOSE SCHOOLS
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257
Practice Address - Country:US
Practice Address - Phone:904-425-1725
Practice Address - Fax:860-228-1213
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW150261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004115475Medicaid