Healthcare Provider Details

I. General information

NPI: 1700897329
Provider Name (Legal Business Name): AIMEE WILSON MORRIS LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS AIMEE GEORGINA WILSON

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5604 OLD BULLARD RD STE 108
TYLER TX
75703-4359
US

IV. Provider business mailing address

5604 OLD BULLARD RD STE 108
TYLER TX
75703-4359
US

V. Phone/Fax

Practice location:
  • Phone: 903-939-2287
  • Fax: 903-939-2938
Mailing address:
  • Phone: 903-939-2287
  • Fax: 903-939-2938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number04677
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number13460
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: