Morris, Jake
Morris, Jake is an individual health care provider with primary practice located at 612 N Greene St , Greensboro NC 27401-2024. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Morris, Jake can be contacted via phone (336) 390-2244.Contact Information
Primary practice address
612 N Greene St
Greensboro NC 27401-2024
Phone: (336) 390-2244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15767 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 15767 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 13903 | North Carolina |
Profile Details
| NPI number | 1689162612 |
|---|---|
| LBN Legal business name | Morris, Jake |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2018 |
| Last updated | May 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689162612 | NPPES |
| North Carolina | Other | 13903 | NCBLPC |
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