Healthcare Provider Details
I. General information
NPI: 1942695572
Provider Name (Legal Business Name): DONNA K MORGAN MS, LPC-S, TA-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/31/2015
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2408 S. 51ST COURT SUITE G
FORT SMITH AR
72903
US
IV. Provider business mailing address
2408 S. 51ST COURT SUITE G
FORT SMITH AR
72903
US
V. Phone/Fax
- Phone: 479-323-2424
- Fax: 479-308-0295
- Phone: 479-323-2424
- Fax: 479-308-0295
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | P1706314 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: