Healthcare Provider Details

I. General information

NPI: 1285382747
Provider Name (Legal Business Name): MORGAN SIMMS MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 03/14/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 PENNSYLVANIA AVE
TUNKHANNOCK PA
18657
US

IV. Provider business mailing address

368 TIOGA AVE
KINGSTON PA
18704-5117
US

V. Phone/Fax

Practice location:
  • Phone: 570-931-6830
  • Fax:
Mailing address:
  • Phone: 570-931-6830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014265
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierPC014265
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerLPC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: