Provider Demographics
NPI:1871378406
Name:MORRIS, ELISABETH KARIN (LMFT)
Entity type:Individual
Prefix:MS
First Name:ELISABETH
Middle Name:KARIN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 HIBBARD ST # B
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1230
Mailing Address - Country:US
Mailing Address - Phone:510-409-1022
Mailing Address - Fax:
Practice Address - Street 1:1700 HIBBARD ST # B
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1230
Practice Address - Country:US
Practice Address - Phone:510-409-1022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42442106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist