Provider Demographics
NPI:1063770725
Name:MORGAN, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 APALACHEE ST
Mailing Address - Street 2:
Mailing Address - City:CARRABELLE
Mailing Address - State:FL
Mailing Address - Zip Code:32322-3524
Mailing Address - Country:US
Mailing Address - Phone:850-566-0037
Mailing Address - Fax:850-697-3891
Practice Address - Street 1:53 AVENUE C
Practice Address - Street 2:
Practice Address - City:APALACHICOLA
Practice Address - State:FL
Practice Address - Zip Code:32320-1785
Practice Address - Country:US
Practice Address - Phone:850-566-0037
Practice Address - Fax:850-697-3891
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0219AD101900101Y00000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor