Provider Demographics
NPI:1427333517
Name:MORRISON, COURTNEY LEA (LCAS,CCS,LCMHCS,LPC)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:LEA
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LCAS,CCS,LCMHCS,LPC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:MORRISON
Other - Last Name:YCAZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4607 CHARLOTTE HWY
Mailing Address - Street 2:#5
Mailing Address - City:LAKE WYLIE
Mailing Address - State:SC
Mailing Address - Zip Code:29710
Mailing Address - Country:US
Mailing Address - Phone:980-613-2060
Mailing Address - Fax:
Practice Address - Street 1:4607 CHARLOTTE HWY
Practice Address - Street 2:#5
Practice Address - City:LAKE WYLIE
Practice Address - State:SC
Practice Address - Zip Code:29710
Practice Address - Country:US
Practice Address - Phone:980-613-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9091101YM0800X
NC2008101YA0400X
SC8649101YM0800X
NCS9091101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6112321Medicaid