Individual
CHARLENE W MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2475 PALM BAY RD NE STE 145-23, MELBOURNE, FL 32905-3317
(321) 345-6831
Mailing address
PO BOX 121196, MELBOURNE, FL 32912-1196
(321) 345-6831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH15456
FL
101YM0800X
Mental Health Counselor
Primary
MH18406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH18406
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
08/21/2018
Last updated
08/23/2021
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