Provider Demographics
NPI:1699246918
Name:MORGAN, MARY FAITH (LPC)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:FAITH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC
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Mailing Address - Street 1:3908 MADISON BND NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7388
Mailing Address - Country:US
Mailing Address - Phone:770-689-7888
Mailing Address - Fax:404-393-1097
Practice Address - Street 1:1742 MOUNT VERNON RD STE 100
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4251
Practice Address - Country:US
Practice Address - Phone:678-691-0005
Practice Address - Fax:404-393-1097
Is Sole Proprietor?:No
Enumeration Date:2018-12-13
Last Update Date:2018-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GALPC010361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional