Provider Demographics
NPI:1154872570
Name:MORRIS, SHEILA I
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MORRIS
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHEALIA
Other - Middle Name:SMITH
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:584 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75672-3257
Mailing Address - Country:US
Mailing Address - Phone:903-742-2097
Mailing Address - Fax:
Practice Address - Street 1:584 WALKER RD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75672-3257
Practice Address - Country:US
Practice Address - Phone:903-742-2097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities