Provider Demographics
NPI:1598855603
Name:CIANCI-MORRIS, LEE ANN (LPC, LCADC)
Entity type:Individual
Prefix:MS
First Name:LEE ANN
Middle Name:
Last Name:CIANCI-MORRIS
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ENTERPRISE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-2129
Mailing Address - Country:US
Mailing Address - Phone:862-781-6141
Mailing Address - Fax:862-781-6147
Practice Address - Street 1:100 ENTERPRISE DR STE 301
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-2129
Practice Address - Country:US
Practice Address - Phone:862-781-6141
Practice Address - Fax:862-781-6147
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00075100101YA0400X
NJ37PC00369200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4138601Medicaid
NJ22-33-19886OtherTAX ID
NJ4138601Medicaid