Basic Information
| Provider Information | |||||||||
| NPI: | 1508028622 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORRIS | ||||||||
| FirstName: | VICKI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | L.C.S.W. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2101 N HASKELL AVE | ||||||||
| Address2: | A'PT.1203 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752043757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2148234212 | ||||||||
| FaxNumber: | 2148234212 | ||||||||
| Practice Location | |||||||||
| Address1: | 12700 HILLCREST RD | ||||||||
| Address2: | SUITE 249 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752302033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722331010 | ||||||||
| FaxNumber: | 9722331099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2008 | ||||||||
| LastUpdateDate: | 06/30/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 06695 | TX | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.