Healthcare Provider Details

I. General information

NPI: 1710540331
Provider Name (Legal Business Name): HAYLEE DANIELLE MORRIS LPC , CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAYLEE DANIELLE HASTINGS

II. Dates (important events)

Enumeration Date: 04/18/2019
Last Update Date: 09/03/2020
Certification Date: 09/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43335 KALIFORNSKY BEACH RD
SOLDOTNA AK
99669-8280
US

IV. Provider business mailing address

1527 TOYON WAY
KENAI AK
99611-7926
US

V. Phone/Fax

Practice location:
  • Phone: 907-262-6331
  • Fax:
Mailing address:
  • Phone: 907-513-1538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number151200
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number00117995
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: