Provider Demographics
NPI:1366926594
Name:MORGAN, LISA ELIZABETH (LPCC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ELIZABETH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 MANCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-7619
Mailing Address - Country:US
Mailing Address - Phone:701-223-5600
Mailing Address - Fax:701-223-5611
Practice Address - Street 1:2600 MANCHESTER ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504
Practice Address - Country:US
Practice Address - Phone:701-223-5600
Practice Address - Fax:701-223-5611
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND8756116328101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional