Basic Information
| Provider Information | |||||||||
| NPI: | 1427343136 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORRIS | ||||||||
| FirstName: | SHANEL | ||||||||
| MiddleName: | YOLANDA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6300 MCCARRAN ST | ||||||||
| Address2: | #2091 | ||||||||
| City: | NORTH LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890818135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026893918 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3435 W CRAIG RD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | NORTH LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890325115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027500377 | ||||||||
| FaxNumber: | 7025387928 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2011 | ||||||||
| LastUpdateDate: | 06/10/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.