Healthcare Provider Details
I. General information
NPI: 1831676352
Provider Name (Legal Business Name): MORGAN COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2018
Last Update Date: 03/06/2024
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11166 TESSON FERRY RD SUITE 203
ST. LOUIS MO
63123
US
IV. Provider business mailing address
11166 TESSON FERRY RD SUITE 203
ST. LOUIS MO
63123
US
V. Phone/Fax
- Phone: 314-221-3773
- Fax:
- Phone: 314-221-3773
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
MORGAN
Title or Position: OWNER
Credential: LPC
Phone: 314-221-3773