Healthcare Provider Details

I. General information

NPI: 1386700508
Provider Name (Legal Business Name): DOUGLAS A. MORRISON M.S., M.DIV., D.MIN.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DOUGLAS A. MORRISON M.S., M.DIV., D.MIN.

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 COURTHOUSE SQ 805
ROCKVILLE MD
20850-2340
US

IV. Provider business mailing address

24 COURTHOUSE SQ 805
ROCKVILLE MD
20850-2340
US

V. Phone/Fax

Practice location:
  • Phone: 301-838-5522
  • Fax: 301-545-0091
Mailing address:
  • Phone: 301-838-5522
  • Fax: 301-545-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLO0454
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC66
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC300706
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: