Healthcare Provider Details

I. General information

NPI: 1982714523
Provider Name (Legal Business Name): LAUREN CHRISTINE MORRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN CHRISTINE LISCOMBE LCSW

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4072 SUNBEAM ROAD SAN JOSE SCHOOLS
JACKSONVILLE FL
32257
US

IV. Provider business mailing address

8540 BAYCENTER ROAD
JACKSONVILLE FL
32256
US

V. Phone/Fax

Practice location:
  • Phone: 904-425-1725
  • Fax: 860-228-1213
Mailing address:
  • Phone: 904-448-1933
  • Fax: 904-394-5783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW15026
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: