Healthcare Provider Details

I. General information

NPI: 1346102050
Provider Name (Legal Business Name): TY'CHELLE MORROW-HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13919 S PLZ
OMAHA NE
68137-2916
US

IV. Provider business mailing address

1306 S 51ST AVE
OMAHA NE
68106-2426
US

V. Phone/Fax

Practice location:
  • Phone: 402-896-9988
  • Fax:
Mailing address:
  • Phone: 531-232-5244
  • Fax: 531-232-5244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number172762
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: