MEDICARE: ALYSSA RENE MORGAN

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	P2510008	AR

General Provider Information

NPI Number	:	1306441936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA RENE MORGAN

Provider Business Mailing Address
First Line	:	163 QUINN HILL DR
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-8869
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	163 QUINN HILL DR
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-8869
Country	:	US
Telephone Number	:	870-310-1374
Fax Number	:

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

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	12/04/2025

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Directions to “ ALYSSA RENE MORGAN ” Practice Location

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