Healthcare Provider Details

I. General information

NPI: 1619832177
Provider Name (Legal Business Name): MORGAN CASEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 LAKE GEORGE DR
SHELBY NC
28152
US

IV. Provider business mailing address

204 LAKE GEORGE DR
SHELBY NC
28152
US

V. Phone/Fax

Practice location:
  • Phone: 606-369-8360
  • Fax:
Mailing address:
  • Phone: 606-369-8360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA22142
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: