Healthcare Provider Details

I. General information

NPI: 1205511656
Provider Name (Legal Business Name): MORGAN BAILEY CRISTY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 E 32ND ST
JOPLIN MO
64804-3312
US

IV. Provider business mailing address

PO BOX 2526
JOPLIN MO
64803-2526
US

V. Phone/Fax

Practice location:
  • Phone: 417-347-7567
  • Fax:
Mailing address:
  • Phone: 417-347-7567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026030368
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number01552
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: