Provider Demographics
NPI:1316497266
Name:ANGEL, MORGAN (MS)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:
Last Name:ANGEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:MORGAN
Other - Middle Name:C P
Other - Last Name:ANGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MORGAN PERRY
Mailing Address - Street 1:1720 W FAIRFIELD DR STE 305
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-1057
Mailing Address - Country:US
Mailing Address - Phone:850-341-0683
Mailing Address - Fax:
Practice Address - Street 1:1720 W FAIRFIELD DR STE 305
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1057
Practice Address - Country:US
Practice Address - Phone:850-341-0683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-04
Last Update Date:2019-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC4450101YM0800X, 101YM0800X
FLMH14061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health