MEDICARE: MRS. KELLY ANN MORGAN PC

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	0800317	OH

General Provider Information

NPI Number	:	1073842530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KELLY ANN MORGAN PC

Provider Business Mailing Address
First Line	:	13940 CEDAR RD # 206
Second Line	:
City	:	UNIVERSITY HTS
State	:	OH
Zip	:	44118-3204
Country	:	US
Telephone Number	:	440-379-1895
Fax Number	:	888-388-7188

Provider Business Practice Location Address
First Line	:	3109 MAYFIELD RD STE 204
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-1726
Country	:	US
Telephone Number	:	440-591-4366
Fax Number	:

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

Provider Enumeration Date	:	12/12/2009
Last Update Date	:	03/05/2024

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