Provider Demographics
NPI:1154982205
Name:MORRIS, LAKESHA (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:LAKESHA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MA, LPC, NCC
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 359
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-0359
Mailing Address - Country:US
Mailing Address - Phone:574-580-1470
Mailing Address - Fax:
Practice Address - Street 1:8871 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49103-1420
Practice Address - Country:US
Practice Address - Phone:574-850-1470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014825101Y00000X
TX81753101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor