Provider Demographics
NPI:1134019136
Name:MORRIS, MARY MITCHELL (PHD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:MITCHELL
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:5501 GLENRIDGE DR APT 948
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4905
Mailing Address - Country:US
Mailing Address - Phone:910-690-8568
Mailing Address - Fax:
Practice Address - Street 1:6000 LAKE FORREST DR STE 575
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3879
Practice Address - Country:US
Practice Address - Phone:470-524-0348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist