MEDICARE: STEPHEN E MORRISON LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 2237	FL

General Provider Information

NPI Number	:	1053580274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN E MORRISON LMHC

Provider Business Mailing Address
First Line	:	5043 GATO DEL SOL CIR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-5509
Country	:	US
Telephone Number	:	813-938-7095
Fax Number	:	813-909-1478

Provider Business Practice Location Address
First Line	:	5121 EHRLICH RD
Second Line	:	SUITE 102A
City	:	TAMPA
State	:	FL
Zip	:	33624-2049
Country	:	US
Telephone Number	:	813-469-0539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	07/25/2011

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