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NPI 1215809819

NPI 1215809819 : MORGAN ELLISTON LPCC : FRANKFORT, KY

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General NPI Number Information
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    NPI Number           |    1215809819
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN ELLISTON LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/22/2025
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    105 DIAGNOSTIC DR 
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    City                 |    FRANKFORT
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    State                |    KY
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    Zip                  |    40601-6559
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    Country              |    US
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    Telephone            |    502-352-2209
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    310 OWSLEY AVE 
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    City                 |    FRANKFORT
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    State                |    KY
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    Zip                  |    40601-4518
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    289857
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    License Number State |    KY
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