Healthcare Provider Details

I. General information

NPI: 1407779523
Provider Name (Legal Business Name): CHLOE MADELINE MORRIS ED.S, LPC-A, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 PALMETTO PARK BLVD
LEXINGTON SC
29072
US

IV. Provider business mailing address

234 KINGSLEY DR
BLYTHEWOOD SC
29016-9311
US

V. Phone/Fax

Practice location:
  • Phone: 803-359-7206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11036
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: