Healthcare Provider Details

I. General information

NPI: 1134837230
Provider Name (Legal Business Name): THE ESSLE CENTER FOR PERCEPTUAL DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 5TH ST N STE 3
COLUMBUS MS
39705-2222
US

IV. Provider business mailing address

2102 5TH ST N STE 3
COLUMBUS MS
39705-2222
US

V. Phone/Fax

Practice location:
  • Phone: 662-798-0478
  • Fax: 662-798-0476
Mailing address:
  • Phone: 662-798-0478
  • Fax: 662-798-0476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREA MORRIS
Title or Position: OWNER/OPERATER
Credential: MD, MHA
Phone: 662-364-0131