MEDICARE: MS. LAUREN M MORRIS LMHC, CAP

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	MH7540	FL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	MH7540	FL
3	101YM0800X	Mental Health Counselor	MH7540	FL

General Provider Information

NPI Number	:	1811141971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAUREN M MORRIS LMHC, CAP

Provider Business Mailing Address
First Line	:	710 NE 126TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4823
Country	:	US
Telephone Number	:	305-815-6968
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 NE 126TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4823
Country	:	US
Telephone Number	:	305-815-6968
Fax Number	:

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

Provider Enumeration Date	:	11/15/2008
Last Update Date	:	11/15/2008

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