MEDICARE: NICOLE MORRILL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	0701015440	VA

General Provider Information

NPI Number	:	1083105845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE MORRILL LPC

Provider Business Mailing Address
First Line	:	216 GALTS MILL ARCH
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-5467
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5305 PLAZA DR
Second Line	:
City	:	HOPEWELL
State	:	VA
Zip	:	23860-7320
Country	:	US
Telephone Number	:	804-471-4692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2018
Last Update Date	:	03/11/2026

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