Provider Demographics
NPI:1023580651
Name:HARRIS, MORGAN HENLEY (LPC-S, RPT, BC-TMH)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:HENLEY
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC-S, RPT, BC-TMH
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:REBECCA
Other - Last Name:HENLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:599 HIGHLAND COLONY PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-6075
Mailing Address - Country:US
Mailing Address - Phone:601-202-3163
Mailing Address - Fax:
Practice Address - Street 1:599 HIGHLAND COLONY PKWY STE 110
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-6075
Practice Address - Country:US
Practice Address - Phone:601-202-5980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-20
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2341101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS200017083Medicaid