Healthcare Provider Details

I. General information

NPI: 1699165902
Provider Name (Legal Business Name): HANNAH MORGAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2015
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 SPRINGHILL RD STE 200
BRYANT AR
72019-7566
US

IV. Provider business mailing address

2301 SPRINGHILL RD STE 200
BRYANT AR
72019-7566
US

V. Phone/Fax

Practice location:
  • Phone: 501-240-5292
  • Fax: 501-943-3016
Mailing address:
  • Phone: 501-240-5292
  • Fax: 501-943-3016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2106016
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: