Provider Demographics
NPI:1730761982
Name:MORRIS, TIARA J (CDC, CBE,)
Entity type:Individual
Prefix:MRS
First Name:TIARA
Middle Name:J
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CDC, CBE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 BITTING HALL CIR
Mailing Address - Street 2:
Mailing Address - City:RURAL HALL
Mailing Address - State:NC
Mailing Address - Zip Code:27045-9875
Mailing Address - Country:US
Mailing Address - Phone:706-750-6472
Mailing Address - Fax:
Practice Address - Street 1:741 BITTING HALL CIR
Practice Address - Street 2:
Practice Address - City:RURAL HALL
Practice Address - State:NC
Practice Address - Zip Code:27045-9875
Practice Address - Country:US
Practice Address - Phone:706-750-6472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC172V00000X
174H00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator