Healthcare Provider Details

I. General information

NPI: 1619754876
Provider Name (Legal Business Name): BMORR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3217 N ST
RICHMOND VA
23223-6761
US

IV. Provider business mailing address

3217 N ST
RICHMOND VA
23223-6761
US

V. Phone/Fax

Practice location:
  • Phone: 804-234-3772
  • Fax:
Mailing address:
  • Phone: 804-234-3772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY N MORRIS
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 804-234-3772