Provider Demographics
NPI:1063887578
Name:MORRIS, DEMETRICE MARTIN (MPC, MRE, MHP)
Entity type:Individual
Prefix:MRS
First Name:DEMETRICE
Middle Name:MARTIN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MPC, MRE, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2476
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70054-2476
Mailing Address - Country:US
Mailing Address - Phone:504-679-3175
Mailing Address - Fax:
Practice Address - Street 1:3308 TULANE AVE STE 414
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7100
Practice Address - Country:US
Practice Address - Phone:888-462-4496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health