MEDICARE: MORGAN ROLLINS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	007271	CT

General Provider Information

NPI Number	:	1003640632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN ROLLINS LPC

Provider Business Mailing Address
First Line	:	154 LEE ST
Second Line	:
City	:	WEST HAVEN
State	:	CT
Zip	:	06516-1313
Country	:	US
Telephone Number	:	203-545-2619
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 LEE ST
Second Line	:
City	:	WEST HAVEN
State	:	CT
Zip	:	06516-1313
Country	:	US
Telephone Number	:	203-545-2619
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	08/27/2024

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