Provider Demographics
NPI:1245192962
Name:SHORT, MORGAN JOY
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:JOY
Last Name:SHORT
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 1:2777 GLENKENCHIE CT NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-8808
Mailing Address - Country:US
Mailing Address - Phone:217-855-4122
Mailing Address - Fax:
Practice Address - Street 1:2777 GLENKENCHIE CT NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-8808
Practice Address - Country:US
Practice Address - Phone:217-855-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach