Provider Demographics
NPI:1699112979
Name:MORGAN, KENETHIA LOUISE (LCSW)
Entity type:Individual
Prefix:
First Name:KENETHIA
Middle Name:LOUISE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16318 BLUE ROCK SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-5602
Mailing Address - Country:US
Mailing Address - Phone:504-270-6615
Mailing Address - Fax:
Practice Address - Street 1:16318 BLUE ROCK SPRINGS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-5602
Practice Address - Country:US
Practice Address - Phone:504-270-6615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker