Healthcare Provider Details

I. General information

NPI: 1891339800
Provider Name (Legal Business Name): MORGAN MASSARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN MASSARA LPCC

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 AIRPORT HWY STE 110
TOLEDO OH
43615-7320
US

IV. Provider business mailing address

5555 AIRPORT HWY STE 110
TOLEDO OH
43615-7320
US

V. Phone/Fax

Practice location:
  • Phone: 419-326-5732
  • Fax:
Mailing address:
  • Phone: 419-326-5732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2607027
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberC.1901680-TRNE
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2002925
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: