Healthcare Provider Details

I. General information

NPI: 1578096848
Provider Name (Legal Business Name): HOLLY MORRIS LPC, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 GENOA BUSINESS PARK DR STE 100
BRIGHTON MI
48114-5328
US

IV. Provider business mailing address

14044 RIDGEMONT ST
GREGORY MI
48137-9665
US

V. Phone/Fax

Practice location:
  • Phone: 517-492-0517
  • Fax:
Mailing address:
  • Phone: 517-492-0517
  • Fax: 734-433-1989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401223073
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: