Healthcare Provider Details

I. General information

NPI: 1639627466
Provider Name (Legal Business Name): MORGAN LYNNE NASSER M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORGAN LYNNE PRICE M.ED.

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ILLINOIS BLVD SUITE 107
HOFFMAN ESTATES IL
60169-3314
US

IV. Provider business mailing address

1 ILLINOIS BLVD SUITE 107
HOFFMAN ESTATES IL
60169-3314
US

V. Phone/Fax

Practice location:
  • Phone: 847-884-6212
  • Fax: 847-884-6687
Mailing address:
  • Phone: 847-884-6212
  • Fax: 847-884-6687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: