MEDICARE: MADELEINE GRACE 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	LMSW-08138T	AZ

General Provider Information

NPI Number	:	1639934110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELEINE GRACE MORRIS

Provider Business Mailing Address
First Line	:	35746 N POMMEL PL
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85144-3151
Country	:	US
Telephone Number	:	916-955-2458
Fax Number	:

Provider Business Practice Location Address
First Line	:	20185 E OCOTILLO RD STE 102
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-7663
Country	:	US
Telephone Number	:	480-704-3474
Fax Number	:

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

Provider Enumeration Date	:	02/14/2024
Last Update Date	:	02/14/2024

Similar Medicare Providers

1841703287 — JENIFER LYNN CLARK FNP
Practice Location Address:

20185 E OCOTILLO RD STE 105
QUEEN CREEK, AZ
85142-7663

Practice Phone: 888-209-8874
Practice Fax: 833-329-4738

1972510675 — MR. RON ANTHON OLSEN DPM
Practice Location Address:

20185 E OCOTILLO RD STE 105
QUEEN CREEK, AZ
85142-7663

Practice Phone: 480-677-3600
Practice Fax: 480-677-3645

1699141085 — TIFFANY MARTINEZ LCSW
Practice Location Address:

20185 E OCOTILLO RD STE 104
QUEEN CREEK, AZ
85142-7663

Practice Phone: 480-704-3474
Practice Fax: 888-221-2541

1275904146 — JENNIFER GARRICK NP
Practice Location Address:

20185 E OCOTILLO RD STE 104
QUEEN CREEK, AZ
85142-7663

Practice Phone: 602-799-0976
Practice Fax: 480-864-4399

1922693951 — VASCO HEALTHCARE INC
Practice Location Address:

20185 E OCOTILLO RD STE 105
QUEEN CREEK, AZ
85142-7663

Practice Phone: 602-346-0204
Practice Fax: 877-637-6691

1144090572 — MISS EMILY JOAN LEON
Practice Location Address:

20185 E OCOTILLO RD STE 102
QUEEN CREEK, AZ
85142-7663

Practice Phone: 480-704-3474
Practice Fax:

Directions to “ MADELEINE GRACE MORRIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.