Healthcare Provider Details

I. General information

NPI: 1700792678
Provider Name (Legal Business Name): LUCY MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LUCY CAMPBELL

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6507 FERGUSON ST STE 201
INDIANAPOLIS IN
46220-0019
US

IV. Provider business mailing address

12592 TRESTER LN
FISHERS IN
46038-3015
US

V. Phone/Fax

Practice location:
  • Phone: 317-253-0568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88002641A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: