Healthcare Provider Details

I. General information

NPI: 1447163555
Provider Name (Legal Business Name): MORGAN GREGG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1528 WALNUT ST STE 805
PHILADELPHIA PA
19102-3608
US

IV. Provider business mailing address

1528 WALNUT ST STE 805
PHILADELPHIA PA
19102-3608
US

V. Phone/Fax

Practice location:
  • Phone: 267-758-7900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: