Healthcare Provider Details

I. General information

NPI: 1154256642
Provider Name (Legal Business Name): MICHELLE MORRISON MCD, SLP-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 BOX ELDER ST
BLUFFTON SC
29910-6282
US

IV. Provider business mailing address

23 BELLINGER BLUFF RD
OKATIE SC
29909-3934
US

V. Phone/Fax

Practice location:
  • Phone: 843-707-0637
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3374
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: