Provider Demographics
NPI:1528266095
Name:MORRIS, KENNETH LEE (EDD, LCPC, LCAC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:LEE
Last Name:MORRIS
Suffix:
Gender:M
Credentials:EDD, LCPC, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15022 W 128TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5809
Mailing Address - Country:US
Mailing Address - Phone:913-636-5657
Mailing Address - Fax:
Practice Address - Street 1:15022 W 128TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5809
Practice Address - Country:US
Practice Address - Phone:913-636-5657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS121101YA0400X
KS231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)