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General NPI Number Information
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NPI Number | 1356018410
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Entity Type | Individual
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Provider Name | MELINDA SUE MORRIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 315 DEADERICK ST STE 1550
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City | NASHVILLE
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State | TN
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Zip | 37238-3003
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Country | US
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Telephone | 833-351-8255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24449
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City | NEW YORK
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State | NY
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Zip | 10087-0589
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Country | US
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Telephone | 833-351-8255
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0000012692
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06368900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8869
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License Number State | TN
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