Healthcare Provider Details

I. General information

NPI: 1245846831
Provider Name (Legal Business Name): MORGAN ASHLEY HARRIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2912 HIGHWOODS BLVD
RALEIGH NC
27604-1064
US

IV. Provider business mailing address

1016 BRITT AVE
COLUMBUS GA
31906-3109
US

V. Phone/Fax

Practice location:
  • Phone: 919-835-6506
  • Fax:
Mailing address:
  • Phone: 706-649-9185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC016949
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: