Healthcare Provider Details

I. General information

NPI: 1427796440
Provider Name (Legal Business Name): MORGANNE DANIELLE HARPER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 10/13/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 N KY 7
SANDY HOOK KY
41171
US

IV. Provider business mailing address

PO BOX 690
BEATTYVILLE KY
41311-0690
US

V. Phone/Fax

Practice location:
  • Phone: 606-738-9785
  • Fax: 859-317-2148
Mailing address:
  • Phone: 606-464-0151
  • Fax: 606-464-0152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number256681
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: