Provider Demographics
NPI:1770571796
Name:MORRISON, MILES I (LCSW, SAP)
Entity type:Individual
Prefix:MR
First Name:MILES
Middle Name:I
Last Name:MORRISON
Suffix:
Gender:M
Credentials:LCSW, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4183
Mailing Address - Country:US
Mailing Address - Phone:972-964-3214
Mailing Address - Fax:972-964-3044
Practice Address - Street 1:2222 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 215
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4183
Practice Address - Country:US
Practice Address - Phone:972-964-3214
Practice Address - Fax:972-964-3044
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX298101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical