MEDICARE: CYNTHIA DONNELL MORRIS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1114531878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA DONNELL MORRIS

Provider Business Mailing Address
First Line	:	97 HOLLYMEAD DR
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77381-5122
Country	:	US
Telephone Number	:	713-582-5108
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 STONEBRIDGE CHURCH DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77382-1471
Country	:	US
Telephone Number	:	713-582-5108
Fax Number	:

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

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	09/01/2020

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