Provider Demographics
NPI:1154119600
Name:MORRISON, SUMMER RHAINE
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:RHAINE
Last Name:MORRISON
Suffix:
Gender:
Credentials:
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 193
Mailing Address - Street 2:
Mailing Address - City:LAKEBAY
Mailing Address - State:WA
Mailing Address - Zip Code:98349-0193
Mailing Address - Country:US
Mailing Address - Phone:931-260-2788
Mailing Address - Fax:
Practice Address - Street 1:950 BROADWAY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4427
Practice Address - Country:US
Practice Address - Phone:243-671-9909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician