Healthcare Provider Details

I. General information

NPI: 1285285072
Provider Name (Legal Business Name): TRESA MORRIS APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRESA MORRIS

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2274 SALEM RD SE STE 106-1485
CONYERS GA
30013-2097
US

IV. Provider business mailing address

2274 SALEM RD SE STE 106-1485
CONYERS GA
30013-2097
US

V. Phone/Fax

Practice location:
  • Phone: 770-728-9491
  • Fax:
Mailing address:
  • Phone: 770-728-9491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number68605
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11013791
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1233100
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number40181
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN263950
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number815209
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number176194
License Number StateMT
# 8
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN263950
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: