Provider Demographics
NPI:1770975476
Name:MORRISON, PORTIA (LPC)
Entity type:Individual
Prefix:
First Name:PORTIA
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PORTIA
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:601 WILLETT PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-6927
Mailing Address - Country:US
Mailing Address - Phone:318-789-1292
Mailing Address - Fax:
Practice Address - Street 1:601 WILLETT PLACE BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-6927
Practice Address - Country:US
Practice Address - Phone:318-789-1292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-04
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health