MEDICARE: THE ESSLE CENTER FOR PERCEPTUAL DEVELOPMENT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	2084P0804X	Child & Adolescent Psychiatry Physician
3	101YM0800X	Mental Health Counselor
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	2084P0005X	Neurodevelopmental Disabilities Physician
6	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1134837230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ESSLE CENTER FOR PERCEPTUAL DEVELOPMENT

Provider Business Mailing Address
First Line	:	2102 5TH ST N STE 3
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-2222
Country	:	US
Telephone Number	:	662-798-0478
Fax Number	:	662-798-0476

Provider Business Practice Location Address
First Line	:	2102 5TH ST N STE 3
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-2222
Country	:	US
Telephone Number	:	662-798-0478
Fax Number	:	662-798-0476

Authorized Official
Title or Position	:	OWNER/OPERATER
Name	:	DR. ANDREA MORRIS
Credential	:	MD, MHA
Telephone Number	:	662-364-0131

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	02/23/2026

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