Healthcare Provider Details
I. General information
NPI: 1205750403
Provider Name (Legal Business Name): MORNING GLORY PSYCHIATRY AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
243 SAN MIGUEL WAY
SACRAMENTO CA
95819-1931
US
IV. Provider business mailing address
2014 CAPITOL AVE STE 100
SACRAMENTO CA
95811-4244
US
V. Phone/Fax
- Phone: 916-580-6780
- Fax:
- Phone: 916-580-6780
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EMILY
ALEXANDRA
SCHRODEK
Title or Position: CEO
Credential:
Phone: 916-538-5810