Provider Demographics
NPI:1295367662
Name:MORRISON, ERICKA (LPCC, LCADC)
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LPCC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-2028
Mailing Address - Country:US
Mailing Address - Phone:270-312-3633
Mailing Address - Fax:626-227-7609
Practice Address - Street 1:1326 W 9TH ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-2028
Practice Address - Country:US
Practice Address - Phone:270-312-3633
Practice Address - Fax:626-227-7609
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY293516101Y00000X, 101YP2500X, 101YM0800X
KY277914101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY277914OtherSTATE