Healthcare Provider Details

I. General information

NPI: 1033745419
Provider Name (Legal Business Name): MORRIKA WOLFORD LPC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 JESSE ROBBINS RD STE D
BELFAST ME
04915-7510
US

IV. Provider business mailing address

244 S MOUNTAIN VALLEY HWY
MONTVILLE ME
04941-4312
US

V. Phone/Fax

Practice location:
  • Phone: 970-779-2717
  • Fax:
Mailing address:
  • Phone: 970-779-2717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001441
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0015989
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC7172
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: