MEDICARE: MORGAN MEYER COUNSELING, PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1629546122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN MEYER COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	10401 WYLIE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-3071
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 MANCHACA RD STE 801
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5379
Country	:	US
Telephone Number	:	608-295-7377
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MORGAN MEYER
Credential	:	LPC
Telephone Number	:	608-295-7377

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	11/06/2018

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