Provider Demographics
NPI:1104333954
Name:SHOPE, MORGAN (LMHC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SHOPE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 RENAISSANCE COMMONS BLVD APT 2105
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8693
Mailing Address - Country:US
Mailing Address - Phone:954-319-7529
Mailing Address - Fax:
Practice Address - Street 1:1811 RENAISSANCE COMMONS BLVD APT 2105
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8693
Practice Address - Country:US
Practice Address - Phone:954-319-7529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2023-09-11
Deactivation Date:2021-06-22
Deactivation Code:
Reactivation Date:2023-09-11
Provider Licenses
StateLicense IDTaxonomies
FLMH14278101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health