Individual provider Active NPI

Latoya Nicole Henry-Morrison

  • Psychiatric/Mental Health Nurse Practitioner
  • Forsyth, GA
National Provider Identifier
1043929102
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61588918 Issued in WA
Practice address
91 Timber Dr
Forsyth, GA 31029-4070
Phone
(954) 740-3890
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN314386 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 54985 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 294009 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61588918 WA Primary

Addresses

Primary practice location

91 Timber Dr
Forsyth, GA 31029-4070

Mailing address

91 Timber Dr
Timber Dr
Forsyth, GA 31029
Phone (954) 740-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250805001120 AZ Practitioner - Nurse Practitioner 3870946643 Reassigns benefits to 1 organization
I20251031003813 NM Practitioner - Nurse Practitioner 3870946643 Reassigns benefits to 1 organization
I20251126004121 WA Practitioner - Nurse Practitioner 3870946643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
294009AZMDPsychiatric/Mental Health Nurse Practitioner
RN314386GAMDPsychiatric/Mental Health Nurse Practitioner
54985NMMDPsychiatric/Mental Health Nurse Practitioner
AP61588918WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greener Pasture S Mental Welness LLC Psychiatric/Mental Health Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 25, 2025 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

113 S Perry St
Ste 206
Lawrenceville, GA 30046
Phone (646) 780-0926

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1043929102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 TIMBER DR",
            "address_2": "TIMBER DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "31029",
            "telephone_number": "954-740-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 TIMBER DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310294070",
            "telephone_number": "954-740-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY-MORRISON",
        "first_name": "LATOYA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN314386",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "54985",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "294009",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61588918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, GA

Sources for this page

Verify at the official NPI Registry.