Healthcare Provider Details

I. General information

NPI: 1700167855
Provider Name (Legal Business Name): RYAN DEAN MORGAN LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6211 TAYLOR DR
FLINT MI
48507-4665
US

IV. Provider business mailing address

525 OKEMOS ST
MASON MI
48854-1224
US

V. Phone/Fax

Practice location:
  • Phone: 810-237-0799
  • Fax: 517-676-5460
Mailing address:
  • Phone: 517-833-8100
  • Fax: 517-676-5460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801085547
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: