Healthcare Provider Details

I. General information

NPI: 1104740224
Provider Name (Legal Business Name): MORGAN VANHOY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 COX RD STE D4
GASTONIA NC
28054-0650
US

IV. Provider business mailing address

402 MYRTLE ST
GASTONIA NC
28052-2034
US

V. Phone/Fax

Practice location:
  • Phone: 704-215-5592
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMHL-036-453
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: