NPI 1811845068

Charlie 6017655661 Morris

Practitioner Drama Therapist Mount Olive, MS

Practice location

Address: PO Box 911, Mount Olive, MS 39119-0911
Phone: (601) 765-5661

Registered specialties

Drama Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 101200000X Licence 6Y2012348 (MS)

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Registry record

NPI: 1811845068
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2026
Record last updated: 20 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.