Provider Demographics
NPI:1215151303
Name:MORGAN, BARBARA KAREN (LCSW, LMFT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:KAREN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-0127
Mailing Address - Country:US
Mailing Address - Phone:903-295-6700
Mailing Address - Fax:903-295-6705
Practice Address - Street 1:501 PINE TREE RD
Practice Address - Street 2:SUITE G6
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-4000
Practice Address - Country:US
Practice Address - Phone:903-295-6700
Practice Address - Fax:903-295-6705
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2015-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS016191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1083263-03Medicaid
TX1083263-03Medicaid