Provider Demographics
NPI:1023305133
Name:MORRIS, GAYNELLE V (LCSW)
Entity type:Individual
Prefix:MRS
First Name:GAYNELLE
Middle Name:V
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:170 N EAGLE CREEK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-9087
Mailing Address - Country:US
Mailing Address - Phone:859-277-5736
Mailing Address - Fax:859-276-2236
Practice Address - Street 1:170 N EAGLE CREEK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-9087
Practice Address - Country:US
Practice Address - Phone:859-277-5736
Practice Address - Fax:859-276-2236
Is Sole Proprietor?:No
Enumeration Date:2011-07-09
Last Update Date:2011-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0549101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health