Healthcare Provider Details
I. General information
NPI: 1972249969
Provider Name (Legal Business Name): MORGAN COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2022
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 E MAIN ST
SANTAQUIN UT
84655-7074
US
IV. Provider business mailing address
113 E 200 N
SANTAQUIN UT
84655-7049
US
V. Phone/Fax
- Phone: 801-857-0227
- Fax:
- Phone: 801-857-0227
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
WRIGHT
MORGAN
Title or Position: LCSW
Credential: LCSW
Phone: 801-857-0227