Provider Demographics
NPI:1588275184
Name:MORRIS, BRIDGETTE (BCCC)
Entity type:Individual
Prefix:MS
First Name:BRIDGETTE
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:BCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4989 PEACHTREE PKWY # 230
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2589
Mailing Address - Country:US
Mailing Address - Phone:404-444-2153
Mailing Address - Fax:
Practice Address - Street 1:4989 PEACHTREE PKWY # 230
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2589
Practice Address - Country:US
Practice Address - Phone:404-444-2153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10120932101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral