Provider Demographics
NPI:1942477377
Name:MORRIS, DANIEL (LADC, LPC, BCN)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:MORRIS
Suffix:
Gender:M
Credentials:LADC, LPC, BCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 S FULTON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6976
Mailing Address - Country:US
Mailing Address - Phone:918-591-3071
Mailing Address - Fax:918-615-2261
Practice Address - Street 1:215 S GRAND AVE STE A
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-4623
Practice Address - Country:US
Practice Address - Phone:918-777-3075
Practice Address - Fax:918-615-2261
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK838101YA0400X
OK5242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)