Healthcare Provider Details

I. General information

NPI: 1255296406
Provider Name (Legal Business Name): JASMINE N MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 SHONEY DR SW STE 120
HUNTSVILLE AL
35801-5450
US

IV. Provider business mailing address

810 SHONEY DR SW STE 120
HUNTSVILLE AL
35801-5450
US

V. Phone/Fax

Practice location:
  • Phone: 256-883-3231
  • Fax: 256-883-9577
Mailing address:
  • Phone: 256-883-3231
  • Fax: 256-883-9577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC05685
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: