Healthcare Provider Details

I. General information

NPI: 1407062805
Provider Name (Legal Business Name): JILL C. MORRIS, PHD., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18672 SHAUNA MANOR DR
BOCA RATON FL
33496-2135
US

IV. Provider business mailing address

18672 SHAUNA MANOR DR
BOCA RATON FL
33496-2135
US

V. Phone/Fax

Practice location:
  • Phone: 561-558-2875
  • Fax:
Mailing address:
  • Phone: 561-558-2875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH-4591
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT-1701
License Number StateFL

VIII. Authorized Official

Name: DR. JILL CAROLE MORRIS
Title or Position: PRESIDENT
Credential: PHD
Phone: 561-558-2875