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NPI Code Detail

MEDICARE: MRS. STACIE MARIE MORRIS LCMFT

MEDICARE: MRS. STACIE MARIE MORRIS LCMFT
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
1104100000XSocial Worker9501KS
2106H00000XMarriage & Family Therapist2725KS

General Provider Information

NPI Number : 1629263736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STACIE MARIE MORRIS LCMFT
Provider Business Mailing Address
First Line : 3151 N RUSHWOOD ST
Second Line :
City : WICHITA
State : KS
Zip : 67226-1228
Country : US
Telephone Number : 316-259-7766
Fax Number :
Provider Business Practice Location Address
First Line : 555 N WOODLAWN ST STE 3105
Second Line :
City : WICHITA
State : KS
Zip : 67208-3673
Country : US
Telephone Number : 316-651-1230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 07/21/2022

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Directions to “ MRS. STACIE MARIE MORRIS LCMFT” Practice Location

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