Healthcare Provider Details

I. General information

NPI: 1073295473
Provider Name (Legal Business Name): KRISTINA GAYLE MORRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 EASTOWNE DR
CHAPEL HILL NC
27514-2214
US

IV. Provider business mailing address

727 EASTOWNE DR STE 300B
CHAPEL HILL NC
27514-2209
US

V. Phone/Fax

Practice location:
  • Phone: 919-265-8769
  • Fax:
Mailing address:
  • Phone: 919-265-8769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC020139
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: