Healthcare Provider Details

I. General information

NPI: 1902381718
Provider Name (Legal Business Name): ASHLEY MARLENE MORSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 08/08/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 N MACOMB ST
MONROE MI
48162-2900
US

IV. Provider business mailing address

730 N MACOMB ST
MONROE MI
48162-2900
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-1760
  • Fax: 734-240-1780
Mailing address:
  • Phone: 734-240-1760
  • Fax: 734-240-1780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451023484
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: