Healthcare Provider Details

I. General information

NPI: 1770957425
Provider Name (Legal Business Name): KARL MORRIS MA, CASAC-AC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 09/11/2025
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W 36TH ST FL 8
NEW YORK NY
10018-7585
US

IV. Provider business mailing address

598 BROADWAY FLOOR 2
NEW YORK NY
10012-3351
US

V. Phone/Fax

Practice location:
  • Phone: 212-378-4545
  • Fax:
Mailing address:
  • Phone: 212-966-9537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: