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NPI Code Detail

MEDICARE: DR. TEZONIA RUSHAN MORGAN PHD

MEDICARE: DR. TEZONIA RUSHAN MORGAN PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor6401013017MI
2101YM0800XMental Health Counselor6401013017MI
3101YP2500XProfessional Counselor6401013017MI

General Provider Information

NPI Number : 1073921938
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TEZONIA RUSHAN MORGAN PHD
Provider Business Mailing Address
First Line : PO BOX 25
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48037-0025
Country : US
Telephone Number : 249-327-6099
Fax Number : 866-327-2570
Provider Business Practice Location Address
First Line : 23580 ORCHARD LAKE RD
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48336-3241
Country : US
Telephone Number : 248-327-6099
Fax Number : 866-327-2570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 02/12/2026

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