Healthcare Provider Details

I. General information

NPI: 1922180074
Provider Name (Legal Business Name): ORA YEMINI-MORRISON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 UNIVERSITY PLACE SUITE 504A
NEW YORK NY
10003
US

IV. Provider business mailing address

295 WILLIAM AVE
BRONX NY
10464
US

V. Phone/Fax

Practice location:
  • Phone: 212-414-5008
  • Fax:
Mailing address:
  • Phone: 718-885-9584
  • Fax: 718-885-9584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: