Provider Demographics
NPI:1487992145
Name:MORRISON, SAMANTHA LYN (MA/EDS, LPCA)
Entity type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:LYN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MA/EDS, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 E COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-0544
Mailing Address - Country:US
Mailing Address - Phone:828-817-0272
Mailing Address - Fax:828-248-1126
Practice Address - Street 1:132 COMMERCIAL DR STE 120
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-2887
Practice Address - Country:US
Practice Address - Phone:828-248-1117
Practice Address - Fax:828-248-1126
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health