Healthcare Provider Details

I. General information

NPI: 1396146783
Provider Name (Legal Business Name): MORGAN DAVIS IMFT, LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 S BROADWAY ST
AKRON OH
44308-1529
US

IV. Provider business mailing address

2814 SAND RUN PKWY
FAIRLAWN OH
44333-2874
US

V. Phone/Fax

Practice location:
  • Phone: 330-253-3100
  • Fax:
Mailing address:
  • Phone: 702-417-8513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF.2400476
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number162750
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: