Healthcare Provider Details

I. General information

NPI: 1932037751
Provider Name (Legal Business Name): HADIYA HOUSTON-MORRIS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 S DE VILLIERS ST
PENSACOLA FL
32502-5511
US

IV. Provider business mailing address

17 S DE VILLIERS ST
PENSACOLA FL
32502-5511
US

V. Phone/Fax

Practice location:
  • Phone: 850-266-2700
  • Fax:
Mailing address:
  • Phone: 850-266-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: