MEDICARE: GWENDOLYN ANGELE MORGAN 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	101YM0800X	Mental Health Counselor	C.2507701	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932856309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GWENDOLYN ANGELE MORGAN LPC

Provider Business Mailing Address
First Line	:	146 N GARLAND AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45403-1718
Country	:	US
Telephone Number	:	513-725-7644
Fax Number	:

Provider Business Practice Location Address
First Line	:	78 E FRANKLIN ST
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-5914
Country	:	US
Telephone Number	:	866-534-2639
Fax Number	:	800-480-7578

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

Provider Enumeration Date	:	03/07/2022
Last Update Date	:	01/08/2026

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