Healthcare Provider Details

I. General information

NPI: 1437983244
Provider Name (Legal Business Name): HALLIE MORGAN MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 GERMANTOWN BEND CV STE 202
CORDOVA TN
38018-7292
US

IV. Provider business mailing address

1163 RUSSWOOD RD
MEMPHIS TN
38122-1749
US

V. Phone/Fax

Practice location:
  • Phone: 901-747-8158
  • Fax:
Mailing address:
  • Phone: 901-831-1742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6771
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: