Most Relevant Information
Provider Data
| NPI Number: | 1003367343 |
| Provider Name: | HALEY MORRIS MT3617; LMHC 16443 |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 88744 |
Most Important Dates
| Enumeration Date: | 10/21/2016 |
| Last Updated: | 08/01/2023 |
Provider Practice Location
4540 SOUTHSIDE BLVD STE 604
JACKSONVILLE
FL
322165488
Practice Location Phone/Fax
| Phone: | 8319052170 |
| Fax: |
Provider Mailing Location
4540 SOUTHSIDE BLVD STE 604
JACKSONVILLE
FL
322165488
Provider Mailing Phone/Fax
| Phone: | 8319052170 |
| Fax: |