MEDICARE: MR. DWAYNE MORRIS LPC,NCC

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	101YP2500X	Professional Counselor	92823	TX

General Provider Information

NPI Number	:	1356150510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DWAYNE MORRIS LPC,NCC

Provider Business Mailing Address
First Line	:	207 W HICKORY ST STE 207
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-4150
Country	:	US
Telephone Number	:	940-395-0585
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 W HICKORY ST STE 207
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-4150
Country	:	US
Telephone Number	:	940-206-6893
Fax Number	:

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

Provider Enumeration Date	:	01/02/2025
Last Update Date	:	02/12/2026

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