Provider Demographics
NPI:1598590606
Name:MORRIS, MICHAELA ALEXIS (CDCA)
Entity type:Individual
Prefix:MS
First Name:MICHAELA
Middle Name:ALEXIS
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:KAELA
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CDCA
Mailing Address - Street 1:1856 KINNEY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207-1824
Mailing Address - Country:US
Mailing Address - Phone:513-693-3855
Mailing Address - Fax:
Practice Address - Street 1:801 EVANS ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45204-2075
Practice Address - Country:US
Practice Address - Phone:513-790-3033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.189778101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)