Healthcare Provider Details

I. General information

NPI: 1174073928
Provider Name (Legal Business Name): CHANRIKA MORLEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 10/15/2026
Certification Date: 10/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 N PINE ISLAND RD APT 301
SUNRISE FL
33351-7354
US

IV. Provider business mailing address

2510 FONSECA CT APT 205
WESLEY CHAPEL FL
33544-6493
US

V. Phone/Fax

Practice location:
  • Phone: 678-698-3309
  • Fax:
Mailing address:
  • Phone: 678-698-3309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH19776
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC016991
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: