=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144822917
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MORNING GLORY COUNSELING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/16/2020
-----------------------------------------------------
Last Update Date | 11/16/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1700 ALMA DR STE 305
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75075-6956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-850-8571
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1700 ALMA DR STE 305
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75075-6956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-850-8571
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED PROFESSIONAL COUNSELOR
-----------------------------------------------------
Name | RACHEL D WILLIAMS
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 972-850-8571
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------