Diane Gibson Morrison, LPC
Individual provider Active NPI Professional Counselor · Roaring Gap, NC
NPI 1851593941 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851593941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5022 (NC)
- Practice address
- 74 Deer Run
Roaring Gap, NC 28668-0307 - Phone
- (336) 363-3006
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5022 | NC | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5022 | NC | Yes |
Addresses
Primary practice location
74 Deer Run
Roaring Gap, NC 28668-0307
Mailing address
PO Box 307
Roaring Gap, NC 28668-0307
Phone (336) 363-3006
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.