Healthcare Provider Details

I. General information

NPI: 1225841026
Provider Name (Legal Business Name): DESIREE MORRISON LPCC-S LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 SOUTH ST # D
CHARDON OH
44024-1505
US

IV. Provider business mailing address

13006 MEADOWWOOD DR
CHARDON OH
44024-8900
US

V. Phone/Fax

Practice location:
  • Phone: 216-650-2299
  • Fax:
Mailing address:
  • Phone: 216-650-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DESIREE MORRISON
Title or Position: CLINICAL DIRECTOR
Credential: LPCC-S
Phone: 216-650-2299