Provider Demographics
NPI:1699931972
Name:MORGAN, SUSAN MARGARET (LPC, NCC)
Entity type:Individual
Prefix:MISS
First Name:SUSAN
Middle Name:MARGARET
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16855
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39236-6855
Mailing Address - Country:US
Mailing Address - Phone:601-940-8862
Mailing Address - Fax:
Practice Address - Street 1:2633 RIDGEWOOD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4962
Practice Address - Country:US
Practice Address - Phone:601-940-8862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0978101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist