Healthcare Provider Details

I. General information

NPI: 1487530705
Provider Name (Legal Business Name): MOLLY MORGAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 GROCE RD
LYMAN SC
29365-1761
US

IV. Provider business mailing address

925 CLEVELAND ST UNIT 267
GREENVILLE SC
29601-4566
US

V. Phone/Fax

Practice location:
  • Phone: 864-439-7760
  • Fax:
Mailing address:
  • Phone: 864-256-0717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11300
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: