Healthcare Provider Details

I. General information

NPI: 1538043104
Provider Name (Legal Business Name): MORGAN WHITE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W PRATT ST FL 4
BALTIMORE MD
21201-1023
US

IV. Provider business mailing address

701 W PRATT ST FL 4
BALTIMORE MD
21201-1023
US

V. Phone/Fax

Practice location:
  • Phone: 410-908-4369
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP16975
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: