Provider Demographics
NPI:1467272120
Name:MORRIS, CHELSEA (LMHC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:MORRIS RIZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:653 KINSEY RD
Mailing Address - Street 2:
Mailing Address - City:BARTON
Mailing Address - State:VT
Mailing Address - Zip Code:05822-4472
Mailing Address - Country:US
Mailing Address - Phone:727-344-9603
Mailing Address - Fax:
Practice Address - Street 1:3110 1ST AVE N STE 2M
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8637
Practice Address - Country:US
Practice Address - Phone:727-344-9603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0135769TELE101Y00000X
FLMH21874101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor