Provider Demographics
NPI:1700897329
Name:MORRIS, AIMEE WILSON (LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:WILSON
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:MISS
Other - First Name:AIMEE
Other - Middle Name:GEORGINA
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5604 OLD BULLARD RD STE 108
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-4359
Mailing Address - Country:US
Mailing Address - Phone:903-939-2287
Mailing Address - Fax:903-939-2938
Practice Address - Street 1:5604 OLD BULLARD RD STE 108
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-4359
Practice Address - Country:US
Practice Address - Phone:903-939-2287
Practice Address - Fax:903-939-2938
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04677106H00000X
TX13460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
579155OtherVALUE OPTIONS
273984000OtherMAGELLAN
TX82327LOtherBLUE CROSS/BLUE SHIELD
TXLP 8002074OtherNHIC
TX0287815-01Medicaid
325788248OtherTRICARE