Provider Demographics
NPI:1538905864
Name:MORGAN, RHONDA (AAS, CSAC HUMAN SVCS)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:AAS, CSAC HUMAN SVCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 W TUCKEY LN UNIT 204
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-1782
Mailing Address - Country:US
Mailing Address - Phone:480-697-1771
Mailing Address - Fax:
Practice Address - Street 1:1702 W TUCKEY LN UNIT 204
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-1782
Practice Address - Country:US
Practice Address - Phone:602-783-6272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17318-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)