Healthcare Provider Details

I. General information

NPI: 1982498994
Provider Name (Legal Business Name): MORGAN FRANDEN LCPC, LSOTP, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E LAKE COOK RD
BUFFALO GROVE IL
60089-8217
US

IV. Provider business mailing address

1627 MAPLE AVE
BERWYN IL
60402-1547
US

V. Phone/Fax

Practice location:
  • Phone: 847-348-9979
  • Fax:
Mailing address:
  • Phone: 856-316-6731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.015282
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.015282
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: