Provider Demographics
NPI:1427472638
Name:MORGAN, KINSEY
Entity type:Individual
Prefix:
First Name:KINSEY
Middle Name:
Last Name:MORGAN
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 1:2705 WATER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TN
Mailing Address - Zip Code:38482-3338
Mailing Address - Country:US
Mailing Address - Phone:931-446-3504
Mailing Address - Fax:
Practice Address - Street 1:321 BILLINGSLY CT STE 20
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-461-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4322101YM0800X
TN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health