Provider Demographics
NPI:1588169569
Name:DAFFRON, MORGAN TAYLOR (MS, LMFT)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:TAYLOR
Last Name:DAFFRON
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 HERKIMER ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-3043
Mailing Address - Country:US
Mailing Address - Phone:732-867-8555
Mailing Address - Fax:
Practice Address - Street 1:834 HERKIMER ST APT 2F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-3043
Practice Address - Country:US
Practice Address - Phone:732-867-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
CA120635106H00000X
NY115638-01106H00000X
NY002154106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator