Provider Demographics
NPI:1194342840
Name:MORGAN, CIARRA (TLDC, HBCE)
Entity type:Individual
Prefix:
First Name:CIARRA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:TLDC, HBCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5421 TEXAS BLUEBELL DR
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-6889
Mailing Address - Country:US
Mailing Address - Phone:512-939-9163
Mailing Address - Fax:
Practice Address - Street 1:5421 TEXAS BLUEBELL DR
Practice Address - Street 2:
Practice Address - City:SPICEWOOD
Practice Address - State:TX
Practice Address - Zip Code:78669-6889
Practice Address - Country:US
Practice Address - Phone:512-939-9163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula