Healthcare Provider Details

I. General information

NPI: 1245649748
Provider Name (Legal Business Name): DR STEPHANIE MORRIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 BLUE EARTH PL SUITE 203B
MANHATTAN KS
66502-6347
US

IV. Provider business mailing address

227 BLUE EARTH PL SUITE 203B
MANHATTAN KS
66502-6347
US

V. Phone/Fax

Practice location:
  • Phone: 785-410-9359
  • Fax: 855-217-1123
Mailing address:
  • Phone: 785-410-9359
  • Fax: 855-217-1123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number2135
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2135
Identifier TypeOTHER
Identifier StateKS
Identifier IssuerKANSAS BEHAVIORAL SCIENCES BOARD

VIII. Authorized Official

Name: DR. STEPHANIE MORRIS
Title or Position: OWNER
Credential: PH.D.
Phone: 785-477-0056