MEDICARE: LINDSEY MORGAN PLLC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1356721898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSEY MORGAN PLLC

Provider Business Mailing Address
First Line	:	18809 W CATAWBA AVE
Second Line	:	SUITE 202
City	:	CORNELIUS
State	:	NC
Zip	:	28031-5547
Country	:	US
Telephone Number	:	704-840-5035
Fax Number	:

Provider Business Practice Location Address
First Line	:	18809 W CATAWBA AVE
Second Line	:	SUITE 202
City	:	CORNELIUS
State	:	NC
Zip	:	28031-5547
Country	:	US
Telephone Number	:	704-840-5035
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	LINDSEY POPE
Credential	:	LMFT, LCAS
Telephone Number	:	704-840-5035

Provider Enumeration Date	:	05/30/2015
Last Update Date	:	05/30/2015

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