Healthcare Provider Details

I. General information

NPI: 1366851750
Provider Name (Legal Business Name): JEAN MORRIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2014
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 184
SARDIS GA
30456-0184
US

IV. Provider business mailing address

PO BOX 184
SARDIS GA
30456-0184
US

V. Phone/Fax

Practice location:
  • Phone: 706-588-5022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: